RIVERSIDE MEDICAL CLINIC (NPI# 1548362973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548362973 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE MEDICAL CLINIC |
| Practice Address |
830 Magnolia Ave Corona CA 92882 |
| Mailing Address |
3660 Arlington Ave Riverside CA 92506 |
| Practice Telephone | 9514936841 |
| Practice Fax Number | 9517825135 |
| Mailing Telephone | 9516836370 |
| Mailing Fax Number | 9517825135 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MARY D ATWOOD (DIRECTOR BUSINESS SERVICES) |
| Authorized Official Telephone | 9517825136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ========= | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ========= | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ========= | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811206923 | Riverside Medical Clinic | Family Medicine | 803 Hwy 18, Lake City, AR 72347-0505 | 2010-10-07 |
| 1639274319 | Riverside Medical Clinic | Internal Medicine | 6250 Clay St, Riverside, CA 92509 | 2006-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Riverside Medical Clinic Inc. | 20886 Riverside Drive, P. O. Box 1030, Grundy, Virginia 24614 |
| System for Award Management (SAM) Entities | RIVERSIDE MEDICAL CLINIC, INC. | 6405 Day St, Riverside, CA 92507-0901 |
| Street Address |
830 MAGNOLIA AVE |
| City | CORONA |
| State | CA |
| Zip Code | 92882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063499200 | Jacquelyn V Lacera | Family Medicine | 830 Magnolia Ave, Corona, CA 92879-3128 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931364 | Infinity Medical Care, Inc. | Family Medicine | 1820 Fullerton Ave Ste No260, Corona, CA 92881-3160 | 2020-01-13 |
| 1649708397 | Greta Eugenia Rios-steed | Family Medicine | 495 E Rincon St Ste 215, Corona, CA 92879-1378 | 2017-05-25 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1659786192 | Merlin Ann Sunny | Family Medicine | 341 Magnolia Ave Ste 201, Corona, CA 92879-3332 | 2014-06-24 |
| 1396164869 | Mi Tu Quan | Family Medicine | 5828 99th St, Corona, NY 11368 | 2014-04-14 |
| 1801232384 | Farhan Saeed Khan | Family Medicine | 2871 New Castle Way, Corona, CA 92879-6164 | 2013-05-11 |
| 1295093953 | Central Occupational Medicine Providers - Ontario, A Medical Corporati | Family Medicine | 1690 W 6th St, Suite K, Corona, CA 92882-2910 | 2012-05-01 |
| 1982983458 | Optimum Wellness and Longevity Inc | Family Medicine | 1315 Corona Pointe Ct, Suite 101, Corona, CA 92879-1764 | 2011-08-15 |
| 1326333089 | Cogent Healthcare of California | Family Medicine | 2275 Sampson Ave, Corona, CA 92879-3400 | 2011-06-10 |
| 1316248842 | Harishkumar Ganeshbhai Patel | Family Medicine | 1312 Alee Cir, Corona, CA 92882-7343 | 2010-11-15 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.