ST MARY LLC (NPI# 1932491271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932491271 |
| Entity Type | Organization |
| Organization Name | ST MARY LLC |
| Practice Address |
6896 Magnolia Ave Riverside CA 92506-2843 |
| Practice Telephone | 9517874885 |
| Practice Fax Number | 9517874962 |
| Mailing Telephone | 9517874885 |
| Mailing Fax Number | 9517874962 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | DR. MICHAEL F BISHARA (PHYSICIAN) |
| Authorized Official Telephone | 9517874885 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
00A432060 | CA | Ambulatory Health Care Facilities |
| Street Address |
6896 MAGNOLIA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144311044 | Michael F Bishara | Internal Medicine | 6896 Magnolia Ave, Riverside, CA 92506-2843 | 2006-09-27 |
| 1720200850 | Michael F Bishara Md Inc | Internal Medicine | 6896 Magnolia Ave, Riverside, CA 92506-2843 | 2007-05-02 |
| 1144318957 | Debra Lynn Rodgers | Nurse Practitioner | 6896 Magnolia Ave, Riverside, CA 92506-2843 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166296 | Pes-ebs.inc. | Clinic/Center | 2060 Chicago Ave Ste A9, Riverside, CA 92507-2316 | 2018-12-24 |
| 1356719777 | Clear Vision Out Patient Recovery Center | Clinic/Center | 6886 Magnolia Ave, Riverside, CA 92506-2843 | 2015-09-02 |
| 1922373331 | Riverside Recovery Resources | Clinic/Center | 5656 Mission Blvd, Jarupa Valley Youth Oppertunity Center, Riverside, CA 92509-4404 | 2012-03-19 |
| 1720375314 | Riverside Recovery Resources | Clinic/Center | 6836 34th St, Nuevo Vista Continuation, Riverside, CA 92509-1301 | 2011-07-01 |
| 1730414707 | Riverside Recovery Resources | Clinic/Center | 3757 Elizabeth St, Riverside, CA 92506-2508 | 2009-10-08 |
| 1659895290 | Addiction Treatment and Family Therapy Center Inc. | Clinic/Center | 5887 Brockton Ave Ste A, Riverside, CA 92506-1858 | 2017-07-26 |
| 1811393044 | Brisas Iop, LLC | Clinic/Center | 5700 Division St, Ste 200, Riverside, CA 92506-3257 | 2014-11-17 |
| 1881969285 | Riverside Recovery Resources | Clinic/Center | 9825 County Farm Rd, Grind Staff, Riverside, CA 92503-3504 | 2012-03-19 |
| 1679851513 | Riverside Recovery Resources | Clinic/Center | 6511 Arlington Ave, Arlington Regional Learning Center, Riverside, CA 92504-1973 | 2011-07-26 |
| 1790007185 | Socal Health Services, Inc | Clinic/Center | 1485 Spruce St Ste L, Riverside, CA 92507-7421 | 2010-02-25 |
| 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.