COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY


Address: 505 S Buena Vista Ave, Corona, CA 92882-1901
Phone: 9512725445

COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY (NPI# 1679564066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679564066
Entity Type Organization
Organization Name COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY
Practice Address 505 S Buena Vista Ave
Corona
CA 92882-1901
Mailing Address Po Box 7849
Riverside
CA 92513-7849
Practice Telephone 9512725445
Practice Fax Number 9512725489
Mailing Telephone 9513585222
Mailing Fax Number 9513585235
Enumeration Date 2005-11-03
Last Update Date 2020-08-22
Authorized Official Name MR. MICHAEL TWEEDELL (DEPUTY DIRECTOR)
Authorized Official Telephone 9513585222
Authorized Official Credential M.P.H.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207Q00000X Family Medicine A51050 CA Allopathic & Osteopathic Physicians
X 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA DEA BC3402942 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952496010 County of Riverside-community Health Agency Clinical Medical Laboratory 4065 County Circle Dr, Riverside, CA 92503-3410 2006-10-04
1316928492 County of Riverside-community Health Agency Family Medicine 47923 Oasis St, Indio, CA 92201-6950 2005-11-07
1962493288 County of Riverside-community Health Agency Pediatrics 9415 Mission Blvd, Riverside, CA 92509-2600 2005-11-04
1790776029 County of Riverside-community Health Agency Internal Medicine 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 2005-11-04
1598756926 County of Riverside-community Health Agency Nurse Practitioner 237 N D St, Perris, CA 92570-1919 2005-11-03
1770574154 County of Riverside-community Health Agency Internal Medicine 3055 W Ramsey St, Banning, CA 92220-3781 2005-11-03
1366659054 County of Riverside-community Health Agency Nurse Practitioner 7140 Indiana Ave, Riverside, CA 92504-4544 2007-05-16
1417975269 County of Riverside-community Health Agency Family Medicine 47923 Oasis St, Indio, CA 92201-6950 2006-07-18
1952329708 County of Riverside-community Health Agency Physician Assistant 880 N State St, Hemet, CA 92543-1459 2006-07-18
1346268190 County of Riverside-community Health Agency Family Medicine 7140 Indiana Ave, Riverside, CA 92504-4544 2006-07-18

Office Location

Street Address 505 S BUENA VISTA AVE
City CORONA
State CA
Zip Code 92882-1901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437641289 Alonia Boucard Case Manager/Care Coordinator 505 S Buena Vista Ave, Corona, CA 92882-1901 2018-06-06
1770006397 Misty Wright Registered Nurse 505 S Buena Vista Ave, Corona, CA 92882-1901 2017-07-25
1376820076 Wendy Carolina Rosensweig Family Medicine 505 S Buena Vista Ave, Suite 101, Corona, CA 92882-1901 2011-11-08
1164603106 Betty R. Garcia Registered Nurse 505 S Buena Vista Ave, Corona, CA 92882-1901 2007-11-19
1164435723 Tommie Lou L Evans Nurse Practitioner 505 S Buena Vista Ave, Corona, CA 92882-1901 2006-08-14
1316965163 County of Riverside- Community Health Agency Family Medicine 505 S Buena Vista Ave, Corona, CA 92882-1901 2006-07-18
1912988767 County of Riverside-community Health Agency Nurse Practitioner 505 S Buena Vista Ave, Corona, CA 92882-1901 2005-11-09

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CORONA
Zip Code 92882

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Dataset Information

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.

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