| Lifestyle Medical | |
|
4368 Central Ave Riverside CA 92506-2918 | |
| (909) 353-1610 | |
| Not Available |
| Full Name | Lifestyle Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 4368 Central Ave, Riverside, California |
| Authorized Official Name and Position | Yida Vonallmen (DIRECTOR) |
| Authorized Official Contact | 6034763111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Medical 4368 Central Ave Riverside CA 92506-2918 Ph: (951) 742-7324 | Lifestyle Medical 4368 Central Ave Riverside CA 92506-2918 Ph: (909) 353-1610 |
| NPI Number | 1912395435 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 10/01/2026 |
| Certification Date | 10/01/2026 |
| Medicare PECOS PAC ID | 4385940972 |
|---|---|
| Medicare Enrollment ID | O20160308001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912395435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | () | Secondary |
| Provider Name | Wayne Stephen Dysinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023121837 PECOS PAC ID: 1557251840 Enrollment ID: I20040318001769 |
| Provider Name | Karen Mcbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841378395 PECOS PAC ID: 3971669169 Enrollment ID: I20090313000324 |
| Provider Name | Dipika R Pandit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194967653 PECOS PAC ID: 0042448300 Enrollment ID: I20140113000277 |
| Provider Name | Cono P Badalamenti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447577853 PECOS PAC ID: 3870724677 Enrollment ID: I20150204001999 |
| Provider Name | Joseph T Krpalek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316450885 PECOS PAC ID: 0042571713 Enrollment ID: I20180221002180 |
| Provider Name | Andrew Tyler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003383480 PECOS PAC ID: 4789924762 Enrollment ID: I20191223001612 |
| Provider Name | Bianca Marie Culhane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679257323 PECOS PAC ID: 7517493364 Enrollment ID: I20241204001494 |
| Provider Name | Lauren Q Rhee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083254692 PECOS PAC ID: 1951885672 Enrollment ID: I20260320001247 |
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