RIVERSIDE ENDOCRINOLOGY SPECIALISTS, INC. (NPI# 1639501182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639501182 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE ENDOCRINOLOGY SPECIALISTS, INC. |
| Practice Address |
22555 Alessandro Blvd Suite B Moreno Valley CA 92553-8533 |
| Mailing Address |
1801 W Olympic Blvd File 1614 Pasadena CA 91199-1614 |
| Practice Telephone | 9516561660 |
| Practice Fax Number | 9516562060 |
| Mailing Telephone | 9516873400 |
| Mailing Fax Number | 9516877630 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2015-04-13 |
| Authorized Official Name | DR. CHAO H. SUN (PHYSICIAN MANAGER) |
| Authorized Official Telephone | 9516873400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
22555 ALESSANDRO BLVD SUITE B |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-8533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750337341 | Paul Th Huynh | Internal Medicine | 22555 Alessandro Blvd, Suite B, Moreno Valley, CA 92553-8533 | 2006-05-25 |
| 1083164529 | Bernice Hurtado | Social Worker | 22555 Alessandro Blvd, Moreno Valley, CA 92553-8533 | 2016-10-08 |
| 1720269905 | Canyon Springs Dialysis LLC | Clinic/Center | 22555 Alessandro Blvd, Bldg 5, Moreno Valley, CA 92553-8533 | 2007-11-16 |
| 1760411953 | Ana Marie Manalang Davis | Nurse Practitioner | 22555 Alessandro Blvd, Suite B, Moreno Valley, CA 92553-8533 | 2006-07-01 |
| 1912944653 | Yogesh Mathurbhai Patel | Internal Medicine | 22555 Alessandro Blvd, Suite B, Moreno Valley, CA 92553-8533 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1659910743 | Robert Alan Rubin | Internal Medicine | 403 Paseo Miramar, Redondo Beach, CA 90277-6288 | 2020-01-06 |
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| 1124585393 | Steady Health Inc | Internal Medicine | 100 Bush St Ste 1600, San Francisco, CA 94104-3918 | 2019-02-25 |
| 1780140673 | Jennifer Anne Nuovo | Internal Medicine | 8880 Cal Center Dr Ste 300, Sacramento, CA 95826-3228 | 2019-02-15 |
| 1407324379 | Chrysalis Health of California | Internal Medicine | 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 | 2018-11-08 |
| 1881172864 | Todd Lorenz | Internal Medicine | 5 Robert Rd, Orinda, CA 94563-3215 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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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.