INNOVAGE HEALTH PARTNERS, INC.


Address: 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869
Phone: 9098902800

INNOVAGE HEALTH PARTNERS, INC. (NPI# 1992170575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992170575
Entity Type Organization
Organization Name INNOVAGE HEALTH PARTNERS, INC.
Practice Address 410 E Parkcenter Cir N
San Bernardino
CA 92408-2869
Practice Telephone 9098902800
Practice Fax Number 9098909615
Mailing Telephone 9098902800
Mailing Fax Number 9098909615
Enumeration Date 2015-12-08
Last Update Date 2015-12-08
Authorized Official Name VANESSA D WALTON (CHIEF LEGAL OFFICER)
Authorized Official Telephone 7209742459
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
53735 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 410 E PARKCENTER CIR N
City SAN BERNARDINO
State CA
Zip Code 92408-2869

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750389482 John Franklin Randolph Family Medicine 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 2005-07-07
1659901429 Maricelle Ranola Dietitian, Registered 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 2020-01-21
1124662242 Stembile Madakiwe Registered Nurse 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 2019-10-31
1588218663 Charlisa Brothers Nurse Practitioner 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 2019-07-28
1871064022 Marla Faye Downs Occupational Therapist 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 2018-12-16
1043781297 Nancy Elizabeth Maurer Occupational Therapist 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 2018-12-16
1679058648 Harvey Abonales Physical Therapist 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 2018-09-26
1902324973 Matthew O Richards Occupational Therapist 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 2017-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073124681 Valeria Armentilla Cecena Student in an Organized Health Care Education/Training Program 1950 Sunwest Ln., San Bernardino, CA 92408 2020-08-17
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1821627639 Bl Anderson Medical Corporation Emergency Medicine 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 2020-04-03
1922648104 Infinite Hope Hospice Corp Hospice Care, Community Based 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 2020-01-15
1689210775 Inland Empire Community Outreach Center Counselor 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 2019-11-23
1992347801 Care Marriage and Family Therapists, Inc. Marriage & Family Therapist 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 2019-10-11
1366084360 Theraville Counseling Services, A Licensed Clinical Social Worker Corp Social Worker 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 2019-10-10
1548730419 Adriana Alcaraz Behavior Technician 473 E Carnegie, Ste 200, San Bernardino, CA 92408 2018-12-04
1811467889 Xavier J Molina-williams Behavior Technician 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 2018-12-03
1780153148 Gillian Washington Behavior Technician 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 2018-11-15
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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.

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1972065704 Joseph A Habis Md Internal Medicine 359 Bel Marin Keys Blvd Ste 22, Novato, CA 94949-5637 2019-04-01
1801363858 Hgrt Medical Group Inc Internal Medicine 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 2018-10-29
1972081412 Ahra Cho, M.d., Inc Internal Medicine 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 2018-08-06
1013401975 Robert H Moon Md, Inc Internal Medicine 181 Rea Ave, El Cajon, CA 92020-3985 2018-06-14
1821587585 Aost Healthcare Services Internal Medicine 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 2018-05-08
1396233185 Caroline Petrossian Internal Medicine 1880 Century Park East Suite 711, Century City, CA 90067 2018-04-26
1558868927 Gps Physician Group of California PC Internal Medicine American River Center, 3900 Garfield Ave, Carmichael, CA 95608 2018-04-11
1427588417 Vivacitas Medical Group PC Internal Medicine 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 2017-06-13
1144616590 Lindsey Merrihew Haddock Internal Medicine 4150 Clement St Bldg 1306b, San Francisco, CA 94121 2015-04-13
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Competitor

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City SAN BERNARDINO
Zip Code 92408

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Dataset Information

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.

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