MISSION PEDIATRICS, INC. (NPI# 1760934582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760934582 |
Entity Type | Organization |
Organization Name | MISSION PEDIATRICS, INC. |
Practice Address |
6950 Brockton Ave Suite 4 Riverside CA 92506-3830 |
Mailing Address |
Po Box 9270 Redlands CA 92375-2470 |
Practice Telephone | 9517791670 |
Practice Fax Number | 9517791679 |
Mailing Telephone | 9517791670 |
Mailing Fax Number | 9517791679 |
Enumeration Date | 2016-10-27 |
Last Update Date | 2018-12-26 |
Authorized Official Name | TIMOTHY WATSON (PRESIDENT) |
Authorized Official Telephone | 9517791670 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952845851 | Mission Pediatrics, Inc. | Pediatrics | 114 W Vine St, Redlands, CA 92373-4762 | 2016-12-12 |
1205349305 | Mission Pediatrics, Inc. | Pediatrics | 1906 Commercenter E Ste 101, San Bernardino, CA 92408-3423 | 2017-11-10 |
1750419438 | Mission Pediatrics, Inc. | Pediatrics | 6926 Brockton Ave, Ste 6, Riverside, CA 92506-3804 | 2007-03-02 |
1679651921 | Mission Pediatrics, Inc. | Pediatrics | 215 W 4th St, Perris, CA 92570-2010 | 2006-11-02 |
Street Address |
6950 BROCKTON AVE SUITE 4 |
City | RIVERSIDE |
State | CA |
Zip Code | 92506-3830 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558383091 | Alan Kwasman | Specialist | 6950 Brockton Ave, Riverside, CA 92506-3831 | 2006-07-24 |
1265519557 | Timothy Walton Mackey | Pediatrics | 6950 Brockton Ave, Riverside, CA 92506-3831 | 2006-11-01 |
1336227362 | Pediatric Medical Group of Riverside Inc. | Pediatrics | 6950 Brockton Ave, Riverside, CA 92506-3831 | 2006-11-01 |
1477631422 | Herbert Metsch | Pediatrics | 6950 Brockton Ave, Riverside, CA 92506-3831 | 2006-11-01 |
1366557910 | Gary M. Feinberg, Md, Facs, Inc. | Specialist | 6950 Brockton Ave, Suite 3, Riverside, CA 92506-3831 | 2006-08-21 |
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 | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598882078 | Touraj Shafai, M.d. Inc | Pediatrics | 7101 Magnolia Ave, Ste A, Riverside, CA 92504 | 2007-03-22 |
1902869878 | Touraj Shafai | Pediatrics | 7101 Magnolia Ave, Ste A, Riverside, CA 92504-3843 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154986107 | School Health Clinics of Santa Clara County | Pediatrics | 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 | 2019-05-06 |
1669927125 | Irvine Doctors of Kids and Teens | Pediatrics | 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 | 2016-08-24 |
1043673270 | Alexander S Golec | Pediatrics | 3333 California St Ste 245, San Francisco, CA 94118-6210 | 2016-04-04 |
1710360094 | Jennifer Johnson, M.d., A Professional Corporation | Pediatrics | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 | 2015-07-03 |
1902290448 | Brittany Kathleen Badal | Pediatrics | 2330 Post St Ste 219, San Francisco, CA 94115-3465 | 2015-03-23 |
1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
1184035032 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 | 2014-05-14 |
1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
1578804084 | Eleanor S. Blatt | Pediatrics | 212 20th St, Huntington Beach, CA 92648-3914 | 2013-03-07 |
1053676619 | Gladys Hope Dadivas Yerro | Pediatrics | 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 | 2012-07-10 |
Find all providers with the same taxonomy |
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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.