PROVIDENCE HEALTHCARE PARTNERS,, INC (NPI# 1699157701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699157701 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTHCARE PARTNERS,, INC |
| Practice Address |
4445 Magnolia Ave Riverside CA 92501-4135 |
| Mailing Address |
12223 Highland Ave Suite 106-526 Rancho Cucamonga CA 91739-2574 |
| Practice Telephone | 5109097122 |
| Mailing Telephone | 5109097122 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | MS. NAWAL BADRAN (PRESIDENT) |
| Authorized Official Telephone | 5109097122 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427410539 | Vrs Enterprises LLC | Hospitalist | 2088 Westminster Dr, Riverside, CA 92506-5526 | 2016-03-28 |
| 1093019606 | Airtime Respiratory Care | Hospitalist | 3638 University Ave Ste 248, Riverside, CA 92501-3331 | 2010-12-23 |
| 1548472103 | Rpn Hospitalist, Inc. | Hospitalist | 1650 Iowa Ave, Suite 220, Riverside, CA 92507-2472 | 2007-05-04 |
| 1467814145 | Bethlehem Gudayu Zeleke | Hospitalist | 4445 Magnolia Ave, Gme Office, Riverside, CA 92501-4135 | 2016-03-22 |
| 1225441058 | Alexander Friedman | Hospitalist | 900 University Ave, Riverside, CA 92521-0001 | 2014-06-10 |
| 1851657712 | Allcare Hospitalists, Inc | Hospitalist | 4100 Central Ave, Suite 106, Riverside, CA 92506-2933 | 2012-04-05 |
| 1164722682 | Riverside Incare Hospitalists, Inc | Hospitalist | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2010-11-01 |
| 1144462581 | Taraneh Sarlati | Hospitalist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2009-03-31 |
| 1881628212 | Shree Krishnan | Hospitalist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830813 | Ikigai Physician Group Inc | Hospitalist | 1523 Main St, Fortuna, CA 95540-2430 | 2020-04-22 |
| 1760012959 | Mylea N Wiley Md Inc. | Hospitalist | 6246 N 1st St. Ste 101, Fresno, CA 93710-5480 | 2020-01-16 |
| 1972152072 | The Hospitalist Group, LLC | Hospitalist | 5150 E Pacific Coast Hwy Ste 500, Long Beach, CA 90804-3328 | 2019-09-10 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1871025957 | Saba Arshad | Hospitalist | 30924 Granger Ave, Union City, CA 94587-1621 | 2017-03-29 |
| 1124481098 | Clari Nguyen | Hospitalist | 9455 Clairemont Mesa Blvd # Ca92123, San Diego, CA 92123-1297 | 2016-03-30 |
| 1912378324 | Huntington Specialist & Nursing Corporation | Hospitalist | 517 S Myrtle Ave, 101, Monrovia, CA 91016-2825 | 2015-10-12 |
| 1639551435 | Jaafar Al-dahwi | Hospitalist | 847 Lemieux Ln, Clovis, CA 93619-5702 | 2015-06-29 |
| 1578959318 | Hospitalist Group of Montebello Inc | Hospitalist | 817 S Main St Ste D, Corona, CA 92882-3407 | 2015-04-08 |
| 1336543925 | Tri-minh Pham Medical Group, Inc | Hospitalist | 3320 Tully Rd, Modesto, CA 95350-0800 | 2014-10-10 |
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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.