INFECTIOUS DISEASE DOCTORS OF NEVADA LLC (NPI# 1659478527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659478527 |
| Entity Type | Organization |
| Organization Name | INFECTIOUS DISEASE DOCTORS OF NEVADA LLC |
| Practice Address |
4445 Magnolia Ave Riverside CA 92501-4135 |
| Mailing Address |
3022 S Durango Dr Suite 100 Las Vegas NV 89117-4439 |
| Practice Telephone | 9517883000 |
| Mailing Telephone | 7022563637 |
| Mailing Fax Number | 7022563307 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | SUDHAKAR V. MALLELA (PRESIDENT) |
| Authorized Official Telephone | 7028783235 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
9640 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
4445 MAGNOLIA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801897731 | Donald R Massee | Radiology | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2005-08-02 |
| 1215538392 | Nicole Barnard | Nurse Practitioner | 4445 Magnolia Ave, Riverside, CA 92501-4199 | 2020-11-04 |
| 1942808811 | Nelson Javier Maravilla | Nurse Anesthetist, Certified Registered | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2020-10-13 |
| 1801494026 | Clinton William Hart | Nurse Practitioner | 4445 Magnolia Ave, Riverside, CA 92501-4199 | 2020-10-09 |
| 1578179677 | Dallas Mckinley Bessette | Nurse Anesthetist, Certified Registered | 4445 Magnolia Ave, Riverside, CA 92501-4199 | 2020-09-23 |
| 1124641444 | Emely Rebekah Garcia | Anesthesiology | 4445 Magnolia Ave, Riverside, CA 92501-4199 | 2020-05-20 |
| 1447872429 | Seena Khosravi | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2020-05-12 |
| 1336761519 | Alexandra May Bock | Nurse Anesthetist, Certified Registered | 4445 Magnolia Ave, Riverside, CA 92501-4199 | 2020-05-11 |
| 1568084747 | Courtney Lynn Hipkin | Nurse Anesthetist, Certified Registered | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2020-05-11 |
| 1003438193 | Shalini Sunil Shah | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2020-05-11 |
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| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518411636 | Sudhakar Venkata Mallela Md Inc | Internal Medicine | 6885 Brockton Ave, Riverside, CA 92506-3811 | 2016-08-05 |
| 1790050144 | Adam Baghban | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2012-03-19 |
| 1225105042 | Khin Wong | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
| 1063589885 | Warren C. Howard | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710527452 | Minal Kapoor Md PC | Internal Medicine | 14901 National Ave Ste 202, Los Gatos, CA 95032-2637 | 2020-01-10 |
| 1285271247 | Sandeep Kumar Bansil Md Inc | Internal Medicine | 641 S Primrose St, La Habra, CA 90631-9245 | 2019-12-09 |
| 1356906739 | Joshua Wolfsohn Do Inc | Internal Medicine | 4000 Calle Tecate Ste 220, Camarillo, CA 93012-5289 | 2019-05-01 |
| 1598224222 | Andrew Markus Faulk | Internal Medicine | 2121 Webster St Apt 605, San Francisco, CA 94115-7812 | 2019-03-12 |
| 1205305026 | Wilbert C Jordan Md Inc | Internal Medicine | 16660 Paramount Blvd Ste 303, Paramount, CA 90723-5459 | 2018-11-21 |
| 1295182335 | East Bay Area Quality Health Corporation | Internal Medicine | 400 29th Ave, Suite 501, Oakland, CA 94601-2106 | 2016-05-18 |
| 1174985451 | Nicholas Robert Degner | Internal Medicine | 705 San Carlo Ave, Colton, CA 92324-6864 | 2016-03-24 |
| 1184084865 | Mohammad Yousef Alkhatib Md Inc | Internal Medicine | 79405 Highway 111 Ste 9-334, La Quinta, CA 92253-8300 | 2016-02-24 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1407239700 | Alan Koff | Internal Medicine | 4860 Y St Ste 0101, Sacramento, CA 95817-2307 | 2015-07-04 |
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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.