CONNECT2MD MEDICAL GROUP, INC. (NPI# 1679014799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679014799 |
| Entity Type | Organization |
| Organization Name | CONNECT2MD MEDICAL GROUP, INC. |
| Other Organization Name | CONNECT2MD MEDICAL GROUP, INC. |
| Practice Address |
1485 Spruce St Ste P Riverside CA 92507-7421 |
| Mailing Address |
2500 E Ball Rd Ste 200 Anaheim CA 92806-5063 |
| Practice Telephone | 9516800066 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | MR. ABDUL L. SAQUIB (MANAGEMENT) |
| Authorized Official Telephone | 7146789725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Connect2MD Medical Group, Inc. | Doing Business As Name - Organization |
| Street Address |
1485 SPRUCE ST STE P |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-7421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699952028 | Suk Young Shin | Acupuncturist | 1485 Spruce St Ste P, Riverside, CA 92507-7421 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1295275808 | Eastern Comprehensive Medical Services | Specialist | 106 Sheephill Rd, Riverside, CT 06878-1120 | 2017-03-01 |
| 1245778331 | Lynn Nevatt | Specialist | 3833 Jurupa Ave, Riverside, CA 92506-2221 | 2017-02-08 |
| 1093264145 | Nephrology Associates Medical Group, Inc. | Specialist | 3660 Park Sierra Dr Ste 203, Riverside, CA 92505-3071 | 2016-09-30 |
| 1639625247 | Dana Keim | Specialist | 6864 Indiana Ave Ste 104a, Riverside, CA 92506 | 2016-09-01 |
| 1720401615 | Matthew Martinez | Specialist | 8205 Coleman St, Riverside, CA 92504-3107 | 2014-01-28 |
| 1649512575 | Michael C Luciano | Specialist | 3120 Chicago Ave, Suite #170, Riverside, CA 92507-3490 | 2013-03-18 |
| 1508110461 | Luis Angel Calvillo Jr. | Specialist | 246 Plews Ct, Riverside, CA 92507-1100 | 2012-10-30 |
| 1639474513 | Jeanne Dunkel | Specialist | 3529 Hoover St, Riverside, CA 92504-3907 | 2011-01-24 |
| 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.