CLINICA MEDICA ECO (NPI# 1881142545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881142545 |
Entity Type | Organization |
Organization Name | CLINICA MEDICA ECO |
Practice Address |
4900 Arlington Ave Riverside CA 92504-2780 |
Practice Telephone | 9516880136 |
Practice Fax Number | 9516880137 |
Mailing Telephone | 9516880136 |
Mailing Fax Number | 9516880137 |
Enumeration Date | 2016-09-12 |
Last Update Date | 2016-09-12 |
Authorized Official Name | DR. JOSE MANUEL DIAZ (PRESIDENT/OWNER) |
Authorized Official Telephone | 9516880136 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | A76805 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICAL LICENSE NUMBER | A76805 | 01 |
CA | PA LICENSE NUMBER | 16852 | 01 |
Street Address |
4900 ARLINGTON AVE |
City | RIVERSIDE |
State | CA |
Zip Code | 92504-2780 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538396585 | Riverside Medical Associates Inc | Family Medicine | 4900 Arlington Ave, Riverside, CA 92504-2780 | 2009-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
Find all providers in zip 92504 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063999431 | Rogelio Drenning-manrriquez | General Practice | 6485 Day St Ste 201, Riverside, CA 92507-0926 | 2018-07-27 |
1205332343 | Precise Telehealth of California, A Professional Corporation | General Practice | 4482 Main Street Primary Location, Riverside, CA 92501-4144 | 2018-04-05 |
1922314947 | J Watts Office Inc | General Practice | 4000 Fourteenth St., 213, Riverside, CA 92501 | 2010-08-27 |
1912237686 | Ralph Patrick Miech | General Practice | 50 Woodcrest Dr, Riverside, RI 02915-1819 | 2010-01-02 |
1205096153 | Sheila Steiner | General Practice | 27 Carousel Drive, Riverside, RI 02915 | 2008-06-13 |
1316924582 | Betina Gideon-greer | General Practice | 4646 Brockton Ave Ste 202, Riverside, CA 92506-0104 | 2005-12-28 |
1518462407 | Samuel Jacob Magny | General Practice | 4445 Magnolia Ave, Riverside, CA 92501-4199 | 2018-03-24 |
1013469683 | David Lee | General Practice | 7164 Magnolia Ave, Riverside, CA 92504-3804 | 2016-10-31 |
1306395587 | Aligned Community Physicians | General Practice | 9041 Magnolia Ave, Suite 008, Riverside, CA 92503-3900 | 2016-09-28 |
1174981906 | Jacknolia Urgent Care | General Practice | 9041 Magnolia Ave, Suite 107, Riverside, CA 92503-3900 | 2016-02-08 |
Find all providers in RIVERSIDE |
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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.