ASPEN MEDICAL GROUP, INC (NPI# 1598857963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598857963 |
| Entity Type | Organization |
| Organization Name | ASPEN MEDICAL GROUP, INC |
| Practice Address |
4000 14th St Suite 401 Riverside CA 92501-4083 |
| Practice Telephone | 9517886012 |
| Practice Fax Number | 9517886369 |
| Mailing Telephone | 9517886012 |
| Mailing Fax Number | 9517886369 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | IHEANACHO EMERUWA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9513433477 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0094762 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295821296 | Aspen Medical Group, Inc | Pediatrics | 9041 Magnolia Ave, Suite 305, Riverside, CA 92503-3900 | 2006-10-05 |
| 1225121270 | Aspen Medical Group, Inc | Obstetrics & Gynecology | 264 N Highland Springs Ave, Building One Suite D, Banning, CA 92220-3082 | 2006-10-02 |
| 1386749638 | Aspen Medical Group, Inc | Pediatrics | 900 S Main St, Suite 209, Corona, CA 92882-3401 | 2006-09-13 |
| Street Address |
4000 14TH ST SUITE 401 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620411 | James Alvin Bartley | Medical Genetics | 4000 14th St, Suite # 310, Riverside, CA 92501-4083 | 2005-06-22 |
| 1205181757 | Orange Psychiatric Medical Group, Inc | Counselor | 4000 14th St, Suite 310a, Riverside, CA 92501-4018 | 2012-07-20 |
| 1811124217 | Ronald Lo Md Inc | Specialist | 4000 14th St, Ste 209, Riverside, CA 92501-4083 | 2009-06-12 |
| 1124206941 | Riverside Imaging LLC | Radiology | 4000 14th St, Suite 109, Riverside, CA 92501-4083 | 2008-02-04 |
| 1447441738 | Computerized Diagnostic Imaging Center | Specialist | 4000 14th St, Suite #109, Riverside, CA 92501-4083 | 2007-08-05 |
| 1285834200 | Andrew Ho, M.d., Inc. | Internal Medicine | 4000 14th St, Suite 412, Riverside, CA 92501-4083 | 2007-07-18 |
| 1679777940 | Joseph G Hubbard Md Inc | Specialist | 4000 14th St, Ste 302, Riverside, CA 92501-4083 | 2007-06-12 |
| 1639373913 | Lawrence E Clark Md Inc | Specialist | 4000 14th St, Ste 302, Riverside, CA 92501-4083 | 2007-06-12 |
| 1477689024 | Riverside Neurosurgical Associates | Specialist | 4000 14th St, 302, Riverside, CA 92501-4083 | 2007-02-26 |
| 1568502425 | Hilario Astudillo Marilao | Specialist | 4000 14th St, Ste. 211, Riverside, CA 92501-4083 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307274 | Adriana Romo | Physician Assistant | 4100 Central Ave Ste 102, Riverside, CA 92506-2930 | 2019-10-14 |
| 1861059784 | Sean Jackson | Physician Assistant | 16851 Tava Ln, Riverside, CA 92504-5809 | 2019-05-27 |
| 1518449503 | Morgan Pilar Goodson | Physician Assistant | 7278 Westport St, Riverside, CA 92506-6163 | 2018-09-05 |
| 1194230334 | Helen Zhu | Physician Assistant | 7158 Foxcroft St, Riverside, CA 92506-6125 | 2017-12-11 |
| 1164933750 | Stephanie Jane Oertel | Physician Assistant | 1285 E Putnam Ave, Riverside, CT 06878 | 2017-10-23 |
| 1467800649 | Ann Gielyn Konzem | Physician Assistant | 17301 Palm Rd, Riverside, CA 92503-7501 | 2016-05-29 |
| 1396108189 | Chelsea Hardesty | Physician Assistant | 4646 Brockton Ave Ste 302, Riverside, CA 92506-0172 | 2016-03-30 |
| 1093191504 | Brian Montgomery | Physician Assistant | 5976 Omega St, Riverside, CA 92506-4744 | 2015-08-06 |
| 1851770721 | Safarini Njambi Nyaggah | Physician Assistant | 8439 Manuel Rd, Riverside, CA 92508-2928 | 2015-05-26 |
| 1124457015 | Tiffany Peraino | Physician Assistant | 5225 Canyon Crest Dr # 71-221, Riverside, CA 92507-6301 | 2013-11-01 |
| Find all providers in RIVERSIDE | ||||
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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.