SEQUOIA FAMILY MEDICAL GROUP, INC. (NPI# 1891033668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891033668 |
| Entity Type | Organization |
| Organization Name | SEQUOIA FAMILY MEDICAL GROUP, INC. |
| Other Organization Name | PACIFIC PAIN & JOINT CENTERS |
| Practice Address |
4024 12th St Suite B Riverside CA 92501-3561 |
| Mailing Address |
12672 Limonite Ave. Suite 3e-235 Eastvale CA 92880-4208 |
| Practice Telephone | 9516830300 |
| Practice Fax Number | 9516830310 |
| Mailing Telephone | 9514798546 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |
| Authorized Official Name | DR. BENJAMIN STUART WILBUR (CEO/PHYSICIAN) |
| Authorized Official Telephone | 9514798546 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacific Pain & Joint Centers | Doing Business As Name - Organization |
| Street Address |
4024 12TH ST SUITE B |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-3561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114006889 | Cellini Navarro Luna | Dentist | 4024 12th St, Riverside, CA 92501-3561 | 2006-11-03 |
| 1467993204 | Western Dental Services, Inc. | Dentist | 4024 12th St, Riverside, CA 92501-3561 | 2017-03-13 |
| 1114317690 | Badii Lee Dental Corporation, Inc. | Dentist | 4024 12th St, Riverside, CA 92501-3561 | 2015-02-04 |
| 1447326467 | Grace Macarubbo | Dentist | 4024 12th St, Riverside, CA 92501-3561 | 2006-11-28 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083725261 | C.o.r.e. | Clinic/Center | 3590 Central Ave Ste 210, 3590 Central Ave Suite 210, Riverside, CA 92506-2708 | 2006-08-31 |
| 1376933283 | Haider Spine Center | Clinic/Center | 6276 River Crest Dr, Riverside, CA 92507-0783 | 2015-01-30 |
| 1407253446 | Riverside Regional Surgery Center Inc | Clinic/Center | 4234 Riverwalk Pkwy, Ste 160, Riverside, CA 92505-8510 | 2014-11-19 |
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| 1184278293 | Acu Therapy Pain Clinic, Inc | Clinic/Center | 1840 Westwood Blvd, Los Angeles, CA 90025-4612 | 2019-07-26 |
| 1851944110 | Onyx Pain Management Medical Corporation | Clinic/Center | 1250 S Sunset Ave Ste 206, West Covina, CA 91790-3962 | 2019-07-16 |
| 1063078293 | Regenerative Health and Wellness Institute | Clinic/Center | 4207 Del Rey Ave, Marina Del Rey, CA 90292-5605 | 2019-05-14 |
| 1740843374 | Green Creek Acupuncture,inc | Clinic/Center | 20735 Stevens Creek Blvd Ste D, Cupertino, CA 95014-2104 | 2019-04-18 |
| 1013478130 | Advanced Pain Medical Group, Inc. | Clinic/Center | 655 W Avenue Q Ste B, Palmdale, CA 93551-3894 | 2019-03-29 |
| 1609350669 | Edgar Celis Md Inc | Clinic/Center | 1050 Northgate Dr Ste 460, San Rafael, CA 94903-2542 | 2018-09-17 |
| 1356848915 | Ensele Enterprises Consulting Inc | Clinic/Center | 5030 Parkway Calabasas, Calabasas, CA 91302-1422 | 2018-04-10 |
| 1730691973 | Ageless Acupuncture Health Center | Clinic/Center | 46923 Warm Springs Blvd Ste 206, Fremont, CA 94539-7977 | 2017-10-27 |
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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.