RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. (NPI# 1982028486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982028486 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
1660 Chicago Ave Suite # M-9 Riverside CA 92507-2068 |
| Mailing Address |
7400 Hollywood Blvd Apt # 505 Los Angeles CA 90046-2830 |
| Practice Telephone | 9517812273 |
| Mailing Telephone | 3102933322 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | DONALD R MASSEE (PRESIDENT) |
| Authorized Official Telephone | 9517812273 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700252467 | Riverside Radiology Medical Group, Inc. | Radiology | 30700 E Sunset Dr S, Redlands, CA 92373-7448 | 2015-08-18 |
| 1700261765 | Riverside Radiology Medical Group, Inc. | Radiology | 400 Warren Dr, Apt. 4, San Francisco, CA 94131-1075 | 2015-07-20 |
| 1851694699 | Riverside Radiology Medical Group, Inc. | Radiology | 338 Lowell Ave, Mill Valley, CA 94941-3845 | 2010-12-17 |
| 1457653206 | Riverside Radiology Medical Group, Inc. | Radiology | 3651 Laketree Dr, Fallbrook, CA 92028-9404 | 2010-11-30 |
| 1619278348 | Riverside Radiology Medical Group, Inc. | Radiology | 9 Tesoro, Newport Coast, CA 92657-1214 | 2010-11-11 |
| 1932409703 | Riverside Radiology Medical Group, Inc. | Radiology | 104 Ormskirk, Williamsburg, VA 23188-8941 | 2010-10-27 |
| 1518267384 | Riverside Radiology Medical Group, Inc. | Radiology | 7410 Yonie Ct, Las Vegas, NV 89117-2159 | 2010-10-27 |
| 1669772448 | Riverside Radiology Medical Group, Inc. | Radiology | 1 Meadowbrook Rd, Franklin, MA 02038-1133 | 2010-10-27 |
| 1003116872 | Riverside Radiology Medical Group, Inc. | Radiology | 30000 Santiago Rd, Temecula, CA 92592-5115 | 2010-10-27 |
| 1932409794 | Riverside Radiology Medical Group, Inc. | Radiology | 12700 Centerville Rd, Chico, CA 95928-8328 | 2010-10-27 |
| Street Address |
1660 CHICAGO AVE SUITE # M-9 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-2068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619465317 | George Walton Tay Jr. | Counselor | 1660 Chicago Ave, Riverside, CA 92507-2068 | 2018-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609348036 | Good Shepherd Healthcare LLC | Radiology | 9395 Magnolia Ave, Riverside, CA 92503-3747 | 2018-12-24 |
| 1295057115 | 3dr Imaging Services, LLC | Radiology | 3211 Van Buren Blvd, Riverside, CA 92503-5640 | 2010-02-19 |
| 1922121979 | Glendale Diagnostic Imaging Network Medical Office | Radiology | 9496 Magnolia Ave Ste 101, Riverside, CA 92503-3733 | 2007-04-06 |
| 1366503799 | Tristan Molina Gale | Radiology | 170 Iowa Ave Suite 280, Riverside, CA 92507-7777 | 2006-12-12 |
| 1699844613 | Riverside Radiology Medical Group Inc | Radiology | 4000 14th Street, Suite 109, Riverside, CA 92501-4083 | 2006-11-06 |
| 1003999103 | Danh Tien Nguyen | Radiology | 4334 Central Ave, Riverside, CA 92506-2918 | 2006-10-23 |
| 1053345926 | Nikhil C Patel | Radiology | 4361 Latham St, Riverside, CA 92501-1730 | 2006-07-10 |
| 1194703819 | Kathryn Occhipinti | Radiology | 1770 Iowa Ave, Riverside, CA 92507-2430 | 2006-01-03 |
| 1801897731 | Donald R Massee | Radiology | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2005-08-02 |
| 1407487531 | Health Diagnostics of California A Professional Corporation | Radiology | 10111 Hole Ave, Riverside, CA 92503-3441 | 2020-01-28 |
| 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.