SOUTHLAND SPINE & REHABILITATION MED CTR (NPI# 1902038326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902038326 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND SPINE & REHABILITATION MED CTR |
| Other Organization Name | SOUTHLAND SPINE & REHABILITATION MED CTR |
| Practice Address |
4354 Latham St Ste 100 Riverside CA 92501-1777 |
| Practice Telephone | 9512755888 |
| Practice Fax Number | 9512755887 |
| Mailing Telephone | 9512755888 |
| Mailing Fax Number | 9512755887 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |
| Authorized Official Name | MAX MATOS (MEDICAL DOCTOR) |
| Authorized Official Telephone | 95127525888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southland Spine & Rehabilitation Med Ctr | Doing Business As Name - Organization |
| Street Address |
4354 LATHAM ST STE 100 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-1777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518353 | Neil J. Halbridge | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-14 |
| 1164915716 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2018-06-08 |
| 1215243290 | Center for Better Health, A Medical Group, Inc. | Non-Pharmacy Dispensing Site | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2010-08-27 |
| 1073829685 | Christina Pantazopoulos | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2010-08-20 |
| 1093711749 | Abraham A Argun | Psychologist | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-27 |
| 1114923968 | Stephen P Suzuki | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-27 |
| 1285639922 | Gurvinder Sunny Uppal | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-17 |
| 1649275579 | John B Gonzalez | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-16 |
| 1801891734 | Donald D Kim | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-16 |
| 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 | 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 |
|---|---|---|---|---|
| 1538768064 | Express Carenow, Inc | Internal Medicine | 4100 Central Ave Ste 101, Riverside, CA 92506-2930 | 2020-10-26 |
| 1073136495 | Lydia Alejandra Robles Gomez | Internal Medicine | 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 | 2020-05-20 |
| 1770105611 | Amala Chacko | Internal Medicine | 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-05-14 |
| 1982225173 | Aneurin Cornolius Fernandez | Internal Medicine | 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-04-29 |
| 1477113264 | Amulya Reddy Kasireddy | Internal Medicine | 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 | 2019-06-14 |
| 1336702927 | Shelden Selas Rodrigues | Internal Medicine | Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1083277685 | Hasrat Sidhu | Internal Medicine | 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1336639426 | Daniele Sebastiano Restifo Ortega | Internal Medicine | Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 | 2018-05-14 |
| 1699263632 | Diana Alexandra Kreppel | Internal Medicine | 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 | 2018-04-25 |
| 1134626690 | Fanny Vanessa Giron Galeano | Internal Medicine | 3722 South Harlem Ave Macneal Center for Internal Medic, Suite Ll34, Riverside, IL 60546 | 2018-04-11 |
| 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.