COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY (NPI# 1770574154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770574154 |
| Entity Type | Organization |
| Organization Name | COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY |
| Practice Address |
3055 W Ramsey St Banning CA 92220-3781 |
| Mailing Address |
Po Box 7849 Riverside CA 92513-7849 |
| Practice Telephone | 9518496794 |
| Practice Fax Number | 9518490060 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | A61019 | CA | Allopathic & Osteopathic Physicians |
| X | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | BP6696251 | 01 |
| 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 |
| 1679564066 | County of Riverside-community Health Agency | Family Medicine | 505 S Buena Vista Ave, Corona, CA 92882-1901 | 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 |
| Street Address |
3055 W RAMSEY ST |
| City | BANNING |
| State | CA |
| Zip Code | 92220-3781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649621459 | Alejandra Santana | Counselor | 3055 W Ramsey St, Banning, CA 92220-3781 | 2016-06-23 |
| 1922432640 | Christine Nneka Emenike- Anierobi | Nurse Practitioner | 3055 W Ramsey St, Banning, CA 92220-3781 | 2013-08-29 |
| 1922362581 | Edward Anthony Bacho | Family Medicine | 3055 W Ramsey St, Banning, CA 92220-3781 | 2012-06-28 |
| 1962775924 | Laura Elizabeth Field | Physician Assistant | 3055 W Ramsey St, Banning, CA 92220-3781 | 2012-02-21 |
| 1568730505 | Tulin Sinjar | Family Medicine | 3055 W Ramsey St, Banning, CA 92220-3781 | 2011-12-05 |
| 1275714164 | Carlotta Lewis | Registered Nurse | 3055 W Ramsey St, Banning, CA 92220-3781 | 2007-11-19 |
| 1346353679 | County of Riverside | Public Health or Welfare | 3055 W Ramsey St, Banning, CA 92220-3781 | 2006-08-17 |
| 1699793448 | County of Riverside- Community Health Agency | Family Medicine | 3055 W Ramsey St, Banning, CA 92220-3781 | 2006-07-18 |
| 1629017868 | Jonathan A Kallis | Social Worker | 3055 W Ramsey St, Banning, CA 92220-3781 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| Find all providers in zip 92220 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1255345138 | Muhammad Saleem Akhtar | Internal Medicine | 1034 W Ramsey St, # A, Banning, CA 92220-4442 | 2006-07-28 |
| 1083908396 | Ehsan Ghetmiri | Internal Medicine | 600 N Highland Springs Ave, Banning, CA 92220 | 2011-06-03 |
| 1447564513 | Hong Vo | Internal Medicine | 5957 W Ramsey St, Banning, CA 92220-3058 | 2010-08-01 |
| 1487896783 | Craig Andre Seheult | Internal Medicine | 6109 W Ramsey St, Banning, CA 92220 | 2009-04-01 |
| 1912180233 | Bahij Ghazal | Internal Medicine | 6109 W Ramsey St, Banning, CA 92220-3051 | 2007-12-10 |
| 1528277688 | Michael Joe Lee | Internal Medicine | 1169 W Ramsey St, Banning, CA 92220-4443 | 2007-05-22 |
| 1598881229 | Nawazish Shahdin Qazi | Internal Medicine | 264 N Highland Springs Ave, Suite 2a, Banning, CA 92220-3082 | 2007-03-22 |
| 1215052873 | Michael Tan Oliverio | Internal Medicine | 330 W Ramsey St, Banning, CA 92220-4823 | 2007-03-20 |
| 1578618088 | Oliverio Medical Group | Internal Medicine | 330 W Ramsey St, Banning, CA 92220-4823 | 2007-01-24 |
| Find all providers in BANNING | ||||
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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.