GARY MITCHELL FEINBERG (NPI# 1730187881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730187881 |
| Entity Type | Individual |
| Full Name | GARY MITCHELL FEINBERG |
| Credential | M.D. |
| Practice Address |
4646 Brockton Ave Suite 201 Riverside CA 92506 |
| Mailing Address |
Po Box 7270 Moreno Valley CA 92552-7270 |
| Practice Telephone | 9517881447 |
| Practice Fax Number | 9517881485 |
| Mailing Telephone | 9516561500 |
| Mailing Fax Number | 9516561510 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2018-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
G58691 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940230 | Gary L Feinberg | Surgery | 718 Shore Rd, Somers Point, NJ 08244-2331 | 2005-08-26 |
| Street Address |
4646 BROCKTON AVE SUITE 201 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108381 | Physician Management Services of California, LLC | Family Medicine | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2020-09-11 |
| 1902361389 | Glenda Lee Conley | Pharmacist | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2019-02-09 |
| 1255867834 | Linnea Hondorp | Registered Nurse | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2017-05-02 |
| 1497299549 | Maria Soledad Ascencio | Nurse Practitioner | 4646 Brockton Ave, # 301, Riverside, CA 92506-0102 | 2016-12-08 |
| 1538610548 | Raincross Medical Group | Nurse Practitioner | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2016-10-14 |
| 1306201157 | Sheila Marie Stephens | Physician Assistant | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2015-12-21 |
| 1447659370 | Mary Elizabeth Barba | Nurse Practitioner | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2014-08-15 |
| 1194145771 | Gary M. Feinberg Ent, Inc. | Otolaryngology | 4646 Brockton Ave, Suite 201, Riverside, CA 92506 | 2014-04-22 |
| 1477806727 | Ashley Kristen Goodacre | Physician Assistant | 4646 Brockton Ave, Suite 302, Riverside, CA 92506-0102 | 2012-10-24 |
| 1710298005 | Julie Ann Buchanan | Physician Assistant | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2010-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184971194 | Gabriel Gabarain | Otolaryngology | 4646 Brockton Ave Ste 201, Riverside, CA 92506 | 2012-08-08 |
| 1194145771 | Gary M. Feinberg Ent, Inc. | Otolaryngology | 4646 Brockton Ave, Suite 201, Riverside, CA 92506 | 2014-04-22 |
| 1134288897 | Edward E. Bloom | Otolaryngology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-12-08 |
| 1679640403 | Richard G. Rajaratnam | Otolaryngology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
| 1922175843 | George Y. Liu | Otolaryngology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
| 1437226248 | Vishwas D. Tadwalkar | Otolaryngology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
| 1750458584 | Donald Perez | Otolaryngology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041881 | Robotic Brain and Spine Institute Inc | Otolaryngology | 9201 W Sunset Blvd Ste 405, Los Angeles, CA 90069-3705 | 2019-03-07 |
| 1447500269 | Esrafil Abedi Md A Professional Corporation | Otolaryngology | 23961 Calle Magdalena St, 430, Laguna Hills, CA 92653-3685 | 2012-09-19 |
| 1154636769 | Louis G. Brennan | Otolaryngology | 4 Leicester Ct, Laguna Niguel, CA 92677-9380 | 2010-08-09 |
| 1568783470 | Dana Kristopher Petersen | Otolaryngology | 1001 Potrero St, San Francisco General Hospital, San Francisco, CA 94110 | 2010-06-15 |
| 1275784233 | Stephen Wayne Hargett | Otolaryngology | 1200 North State St., Los Angeles, CA 90033 | 2008-10-08 |
| 1568664548 | Geoffrey Arthur Smith | Otolaryngology | 7910 Frost St # 420, San Diego, CA 92123-2771 | 2007-06-03 |
| 1831319326 | Shamit Chopra | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2007-04-26 |
| 1194941641 | Ronaldo A Ballecer | Otolaryngology | 540 E Herndon Ave Ste 105, Suite 105, Fresno, CA 93720-2993 | 2007-04-17 |
| 1669515862 | Kaniff Cosmetic Medical Center, Inc | Otolaryngology | 631 Fulton Ave, Sacramento, CA 95825-4813 | 2007-02-15 |
| 1881742674 | Lynn J. Goodloe | Otolaryngology | 7230 Medical Center Dr Ste 302, West Hills, CA 91307-4032 | 2007-01-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GARY MITCHELL FEINBERG.
| 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.