UCR HEALTH MULTISPECIALTY CLINIC (NPI# 1831577162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831577162 |
| Entity Type | Organization |
| Organization Name | UCR HEALTH MULTISPECIALTY CLINIC |
| Practice Address |
4510 Brockton Ave Suite 365 Riverside CA 92501-4051 |
| Mailing Address |
Po Box 31001-2130 Pasadena CA 91110-2130 |
| Practice Telephone | 9518277963 |
| Practice Fax Number | 9512637237 |
| Mailing Telephone | 2134121973 |
| Mailing Fax Number | 2134121981 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | JOHN HEYDT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
4510 BROCKTON AVE SUITE 365 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275737280 | John Anthony Kuri II | Orthopaedic Surgery | 4510 Brockton Ave, Suite 175, Riverside, CA 92501-4015 | 2007-06-13 |
| 1831320068 | Claudia Alejandra Munoz | Psychiatry & Neurology | 4510 Brockton Ave, Suite 365, Riverside, CA 92501-4015 | 2009-08-05 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651688 | Nebi PC | Clinic/Center | 8175 Limonite Ave Ste A, Riverside, CA 92509-6120 | 2020-08-26 |
| 1700140258 | Serc Rehabilitation Partners, LLC | Clinic/Center | 220 Nw Platte Valley Dr, Riverside, MO 64150-9793 | 2012-06-29 |
| 1841435674 | Advanced Health Medical Group | Clinic/Center | 10600 Magnolia Ave, Suite F, Riverside, CA 92505-1819 | 2008-12-08 |
| 1851587448 | Ironstone Medical Clinic Inc | Clinic/Center | 4121 Brockton Ave Ste 104, Riverside, CA 92501-3442 | 2007-09-18 |
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| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
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| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
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| 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.