| Intellicare Medical | |
|
4354 Latham St Ste 100 Riverside CA 92501-1777 | |
| (951) 466-6628 | |
| (951) 848-9606 |
| Full Name | Intellicare Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 4354 Latham St Ste 100, Riverside, California |
| Authorized Official Name and Position | Sivaraman K Gounder (PRESIDENT) |
| Authorized Official Contact | 7027622485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intellicare Medical 4354 Latham St Ste 100 Riverside CA 92501-1777 Ph: (951) 466-6628 | Intellicare Medical 4354 Latham St Ste 100 Riverside CA 92501-1777 Ph: (951) 466-6628 |
| NPI Number | 1467024331 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 04/13/2026 |
| Medicare PECOS PAC ID | 9335543974 |
|---|---|
| Medicare Enrollment ID | O20210804002898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467024331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sujay Dutta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184712168 PECOS PAC ID: 6002814076 Enrollment ID: I20061129000546 |
| Provider Name | Samia Faiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508961491 PECOS PAC ID: 9133229040 Enrollment ID: I20070706000401 |
| Provider Name | Mazen K Munir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205943446 PECOS PAC ID: 3870663578 Enrollment ID: I20080606000726 |
| Provider Name | Iman Afrooz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497938039 PECOS PAC ID: 6406917715 Enrollment ID: I20081204000995 |
| Provider Name | Hoveda S Mufti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598871493 PECOS PAC ID: 0547322463 Enrollment ID: I20081230000453 |
| Provider Name | Mohammad S Kharazmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033121272 PECOS PAC ID: 8022911841 Enrollment ID: I20090618000155 |
| Provider Name | Alina S Popa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003893348 PECOS PAC ID: 4981648839 Enrollment ID: I20090807000078 |
| Provider Name | Murtaza Rizvi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205071073 PECOS PAC ID: 7911044201 Enrollment ID: I20091019000398 |
| Provider Name | Mehdi Manzari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689807463 PECOS PAC ID: 8820285273 Enrollment ID: I20101210000187 |
| Provider Name | Afshin Zandpour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720233976 PECOS PAC ID: 2668667197 Enrollment ID: I20110309000334 |
| Provider Name | Sivaraman Gounder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740436237 PECOS PAC ID: 8426196825 Enrollment ID: I20110322000719 |
| Provider Name | Rajesh Gulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013967108 PECOS PAC ID: 7810947561 Enrollment ID: I20110609000024 |
| Provider Name | Hai D Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558516963 PECOS PAC ID: 2567630569 Enrollment ID: I20110718000763 |
| Provider Name | Adnan A Misellati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063654564 PECOS PAC ID: 1557414844 Enrollment ID: I20110831000290 |
| Provider Name | Olumide Akingbemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841510385 PECOS PAC ID: 4082886304 Enrollment ID: I20111011000274 |
| Provider Name | Darren Keith Freeman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326184896 PECOS PAC ID: 1759461510 Enrollment ID: I20141024002193 |
| Provider Name | Sahar Eivaz Mohammadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336560044 PECOS PAC ID: 5193032027 Enrollment ID: I20150909002985 |
| Provider Name | Mercedes D Corlew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609142850 PECOS PAC ID: 9436457850 Enrollment ID: I20160418001500 |
| Provider Name | Sanjeev Puri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730420399 PECOS PAC ID: 0547570871 Enrollment ID: I20180307001366 |
| Provider Name | Iris Partovi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104019462 PECOS PAC ID: 5597959627 Enrollment ID: I20180706000842 |
| Provider Name | Koohzad Karimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376920116 PECOS PAC ID: 8123314606 Enrollment ID: I20180813001521 |
| Provider Name | Christine Mikhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538521067 PECOS PAC ID: 7810280963 Enrollment ID: I20200304002810 |
| Provider Name | Jason A Kajbaf |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962864793 PECOS PAC ID: 2365740065 Enrollment ID: I20200526000968 |
| Provider Name | Andrew Hwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114458809 PECOS PAC ID: 0749605863 Enrollment ID: I20200806002934 |
| Provider Name | Ali Varasteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962927475 PECOS PAC ID: 6709205966 Enrollment ID: I20201007003077 |
| Provider Name | Hamza Gohar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215464037 PECOS PAC ID: 4789954702 Enrollment ID: I20201008002204 |
| Provider Name | Ray Sunjed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164915625 PECOS PAC ID: 5496158586 Enrollment ID: I20210727002890 |
| Provider Name | Victoria M Trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366102154 PECOS PAC ID: 0941687552 Enrollment ID: I20220520001710 |
| Provider Name | Walter George Lapinskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598426389 PECOS PAC ID: 0143608497 Enrollment ID: I20220527001720 |
| Provider Name | Manvir Singh Wadhwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154881365 PECOS PAC ID: 5395120588 Enrollment ID: I20220926000214 |
| Provider Name | Omar Nagy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285194092 PECOS PAC ID: 1456754308 Enrollment ID: I20221006002262 |
| Provider Name | Yas Aus Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336568971 PECOS PAC ID: 6103128350 Enrollment ID: I20221114000469 |
| Provider Name | Harikrishna Ambati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154998730 PECOS PAC ID: 5890168850 Enrollment ID: I20230222002936 |
| Provider Name | Katherine Jean Mower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629632740 PECOS PAC ID: 8921464389 Enrollment ID: I20230510001676 |
| Provider Name | Syed J Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649739806 PECOS PAC ID: 3072854298 Enrollment ID: I20230731003473 |
| Provider Name | Mohammad Mohtashemi Pour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992334098 PECOS PAC ID: 9739537812 Enrollment ID: I20231130000155 |
| Provider Name | Mario Antonio Saldana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033738919 PECOS PAC ID: 3870957335 Enrollment ID: I20231229001832 |
| Provider Name | Natalie Krystal Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578136081 PECOS PAC ID: 3274939640 Enrollment ID: I20240411004549 |
| Provider Name | Osaigiakpe Np Ugheighele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770268740 PECOS PAC ID: 9032559463 Enrollment ID: I20240501003387 |
| Provider Name | Mehdi Mark Kazemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669052957 PECOS PAC ID: 8325480320 Enrollment ID: I20240522001913 |
| Provider Name | Smita Lamba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902669377 PECOS PAC ID: 8224571617 Enrollment ID: I20240613001455 |
| Provider Name | Ali Abdulraheem Mahdi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1285262204 PECOS PAC ID: 2466995410 Enrollment ID: I20240618002859 |
| Provider Name | George Barboza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891436630 PECOS PAC ID: 0648656637 Enrollment ID: I20240711002264 |
| Provider Name | Komail Mujtaba Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962039636 PECOS PAC ID: 0840727269 Enrollment ID: I20241226000945 |
| Provider Name | Jenica Salvador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477446847 PECOS PAC ID: 2062920176 Enrollment ID: I20250731003137 |
| Provider Name | Patricia D Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235901661 PECOS PAC ID: 9830638857 Enrollment ID: I20250806002826 |
| Provider Name | Adam Robarge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295476471 PECOS PAC ID: 8022519008 Enrollment ID: I20250829004680 |
| Provider Name | Richard Khanal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750915971 PECOS PAC ID: 3274914833 Enrollment ID: I20250926001887 |
| Provider Name | Omar Khattab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386257640 PECOS PAC ID: 1153709837 Enrollment ID: I20251030003870 |
Riverside Neighborhood Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000 Fax: 951-358-6044 | |
Pulmonary Partners Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5790 Magnolia Ave, Suite 201, Riverside, CA 92506 Phone: 951-368-0427 Fax: 951-368-0429 | |
Inland Empire Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1764 Columbia Ave Ste B, Riverside, CA 92507 Phone: 951-300-6589 | |
The Smooth Skin Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Indiana Ave Ste 205, Riverside, CA 92506 Phone: 909-717-6069 | |
Lyn M Pintelon D.o. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8990 Garfield St, Ste.6, Riverside, CA 92503 Phone: 951-358-0784 Fax: 951-354-7583 | |
Alliant Surgical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6958 Brockton Ave Ste 203, Riverside, CA 92506 Phone: 714-835-5100 Fax: 714-835-5567 | |
Marlon Minera, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6376 Greyson Way, Riverside, CA 92506 Phone: 951-476-3239 Fax: 951-584-3080 |