JEFFREY D RIES D O A PROFESSIONAL CORPORATION (NPI# 1992917108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992917108 |
| Entity Type | Organization |
| Organization Name | JEFFREY D RIES D O A PROFESSIONAL CORPORATION |
| Practice Address |
1310 San Bernardino Rd Ste 101 Upland CA 91786-4985 |
| Mailing Address |
1310 San Bernardino Rd Suite 101 Upland CA 91786-4979 |
| Practice Telephone | 9095790779 |
| Practice Fax Number | 9095790789 |
| Mailing Telephone | 9095790779 |
| Mailing Fax Number | 9095790789 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-07-27 |
| Authorized Official Name | DR. JEFFREY DEAN RIES (PRESIDENT) |
| Authorized Official Telephone | 9095790779 |
| Authorized Official Credential | D O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX51380 | 05 |
| Street Address |
1310 SAN BERNARDINO RD STE 101 |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921830 | Lionel Bernard Katchem | Family Medicine | 1310 San Bernardino Rd, Ste 105, Upland, CA 91786-4979 | 2005-06-09 |
| 1023493095 | Madonna Zand | Nurse Practitioner | 1310 San Bernardino Rd, 205, Upland, CA 91786-4979 | 2015-07-20 |
| 1023406725 | Ian Joseph Donahue | Physician Assistant | 1310 San Bernardino Rd, Ste. 103, Upland, CA 91786-4979 | 2015-01-03 |
| 1811395221 | Noralyne Eini | Nurse Practitioner | 1310 San Bernardino Rd, Suite 105, Upland, CA 91786-4979 | 2014-12-17 |
| 1134522501 | Amanda Ingalls | Physician Assistant | 1310 San Bernardino Rd, Suite 101, Upland, CA 91786-4979 | 2014-09-30 |
| 1205265931 | Lorraine Mae Dominick | Nurse Practitioner | 1310 San Bernardino Rd, Upland, CA 91786-4979 | 2013-11-04 |
| 1194028423 | Advanced Skin Clinic & Surgery, PC | Dermatology | 1310 San Bernardino Rd, Suite 207, Upland, CA 91786-4979 | 2010-12-08 |
| 1871747428 | Care for Womens Medical Group Inc | Obstetrics & Gynecology | 1310 San Bernardino Rd, Suite 201, Upland, CA 91786-4979 | 2008-11-10 |
| 1356502116 | Dalia Ibrahim-abdelaziz | Internal Medicine | 1310 San Bernardino Rd, Ste 103, Upland, CA 91786-4979 | 2008-06-24 |
| 1710041686 | Tamuyen Nguyen | Dermatology | 1310 San Bernardino Rd, Suite 207, Upland, CA 91786-4979 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275586430 | Faisal M Qazi | Psychiatry & Neurology | 901 San Bernadino Rd Ste 102, Upland, CA 91786 | 2006-05-18 |
| 1386607950 | Chaparral Medical Group Inc | Psychiatry & Neurology | 630 North 13th Ave, Suite B, Upland, CA 91786-4956 | 2006-04-06 |
| 1023014628 | Calvin Randolph Stafford Jr. | Psychiatry & Neurology | One Medical Center Blvd, Suite 533, Upland, PA 19013-3902 | 2005-06-28 |
| 1326202748 | Bhupat H Desai Md Inc | Psychiatry & Neurology | 630 N 13th Ave, Suite B, Upland, CA 91786-4975 | 2008-07-15 |
| 1962677823 | Kesha Abena Wilford | Psychiatry & Neurology | One Medical Center Blvd, Suite 533, Upland, PA 19013-3902 | 2008-04-22 |
| 1851505432 | P. Perry Wich, M.d., Inc. | Psychiatry & Neurology | 630 N 13th Ave, Suite F, Upland, CA 91786-4975 | 2007-05-10 |
| 1326185190 | Regina Torsney-durkin | Psychiatry & Neurology | One Medical Center Blvd, Suite 533, Upland, PA 19013-3902 | 2007-01-31 |
| 1649362633 | Bhupat H Desai | Psychiatry & Neurology | 630 N 13th Ave, Suite B, Upland, CA 91786-4975 | 2006-09-28 |
| 1043317217 | Peiruch Perry Wich | Psychiatry & Neurology | 630 N 13th Ave, Suite F, Upland, CA 91786-4975 | 2006-09-20 |
| 1154344661 | Craig A Bogen | Psychiatry & Neurology | One Medical Center Blvd., Acp, Suite 232, Upland, PA 19013-3902 | 2006-07-25 |
| Find all providers in UPLAND | ||||
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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.