| Riverside Faculty Medical Group Inc | |
|
26520 Cactus Ave Moreno Valley CA 92555-3927 | |
| (951) 486-5700 | |
| (951) 486-5705 |
| Full Name | Riverside Faculty Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26520 Cactus Ave, Moreno Valley, California |
| Authorized Official Name and Position | Daniel Kim (MD/PRESIDENT) |
| Authorized Official Contact | 9514865701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Faculty Medical Group Inc Po Box 7270 Moreno Valley CA 92552-7270 Ph: (951) 486-5700 | Riverside Faculty Medical Group Inc 26520 Cactus Ave Moreno Valley CA 92555-3927 Ph: (951) 486-5700 |
| NPI Number | 1124032461 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 03/20/2013 |
| Medicare PECOS PAC ID | 9436253515 |
|---|---|
| Medicare Enrollment ID | O20070329000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124032461 | NPI | - | NPPES |
| GR0061940 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Roger C Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013941475 PECOS PAC ID: 8022003227 Enrollment ID: I20040416001490 |
| Provider Name | Ramiz Fargo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699705509 PECOS PAC ID: 5193710390 Enrollment ID: I20040416001503 |
| Provider Name | Daniel Il-sun Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295769651 PECOS PAC ID: 6507851599 Enrollment ID: I20040419000939 |
| Provider Name | Gary John Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316971468 PECOS PAC ID: 1850373937 Enrollment ID: I20040602001461 |
| Provider Name | Morteza Chitsazan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164513677 PECOS PAC ID: 4981651304 Enrollment ID: I20050406001291 |
| Provider Name | Made Sutjita |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053428334 PECOS PAC ID: 2860430238 Enrollment ID: I20050418000876 |
| Provider Name | Lakshmi K Puvvula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295848174 PECOS PAC ID: 2668416249 Enrollment ID: I20050614001367 |
| Provider Name | Pamela E Yamanishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245307057 PECOS PAC ID: 8426066382 Enrollment ID: I20060404000323 |
| Provider Name | Michele Idera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639154537 PECOS PAC ID: 1254435605 Enrollment ID: I20070326000102 |
| Provider Name | Minho Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871700278 PECOS PAC ID: 9537251293 Enrollment ID: I20070825000138 |
| Provider Name | Dat To |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194924233 PECOS PAC ID: 7517049307 Enrollment ID: I20080201000264 |
| Provider Name | Walter F Klein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366645491 PECOS PAC ID: 9133288749 Enrollment ID: I20081111000266 |
| Provider Name | Neha Pandey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861643066 PECOS PAC ID: 0648333831 Enrollment ID: I20090114000528 |
| Provider Name | Ilho Kang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578754602 PECOS PAC ID: 7618021536 Enrollment ID: I20090812000208 |
| Provider Name | William Ochoa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558574954 PECOS PAC ID: 7810041241 Enrollment ID: I20090819000277 |
| Provider Name | Duc D To |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629205216 PECOS PAC ID: 9537213673 Enrollment ID: I20090824000644 |
| Provider Name | Huy D Au |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710165998 PECOS PAC ID: 1355487067 Enrollment ID: I20091012000139 |
| Provider Name | Iqbal Munir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386822690 PECOS PAC ID: 2961536735 Enrollment ID: I20100816000403 |
| Provider Name | Ivy C Issa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891796165 PECOS PAC ID: 0648248096 Enrollment ID: I20101109001473 |
| Provider Name | Christina Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235251927 PECOS PAC ID: 4385824796 Enrollment ID: I20110202000131 |
| Provider Name | Anthony F Firek |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861462640 PECOS PAC ID: 4880874411 Enrollment ID: I20110214000650 |
| Provider Name | Zebayel Akele Baye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093988628 PECOS PAC ID: 9638349582 Enrollment ID: I20110831000715 |
| Provider Name | Truclinh Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134385685 PECOS PAC ID: 7517139389 Enrollment ID: I20111021000013 |
| Provider Name | Sadia S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225271125 PECOS PAC ID: 2668621558 Enrollment ID: I20121010000025 |
| Provider Name | Earl P Ilano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417199969 PECOS PAC ID: 4981855392 Enrollment ID: I20121113000178 |
| Provider Name | Ali Motabar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447492467 PECOS PAC ID: 0840442927 Enrollment ID: I20121219000127 |
| Provider Name | Benjamin Tabibian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609192426 PECOS PAC ID: 8325287485 Enrollment ID: I20130620000574 |
| Provider Name | Zahra Pakbaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942463377 PECOS PAC ID: 0547402091 Enrollment ID: I20130812000806 |
| Provider Name | Kathie K Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407175342 PECOS PAC ID: 7618107640 Enrollment ID: I20140313000086 |
| Provider Name | Destry G Washburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992021463 PECOS PAC ID: 9234352402 Enrollment ID: I20140516000803 |
| Provider Name | Yona Ardiles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285950030 PECOS PAC ID: 0648496034 Enrollment ID: I20140721000840 |
| Provider Name | Brandon Lee Nathaniel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851550834 PECOS PAC ID: 1557587896 Enrollment ID: I20140723001293 |
| Provider Name | Michael H Ree |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952692287 PECOS PAC ID: 6103042163 Enrollment ID: I20140728001503 |
| Provider Name | Tri T Luu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396056610 PECOS PAC ID: 2961619135 Enrollment ID: I20150915002693 |
| Provider Name | Lily J Tiao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922477306 PECOS PAC ID: 4183933179 Enrollment ID: I20151013001838 |
| Provider Name | Aarti C Mittal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194035691 PECOS PAC ID: 7113237389 Enrollment ID: I20151030002070 |
| Provider Name | Heidi Scalzitti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588956783 PECOS PAC ID: 5395055446 Enrollment ID: I20151102002732 |
| Provider Name | Matthew S Mccarty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992095434 PECOS PAC ID: 2668772344 Enrollment ID: I20151202000975 |
| Provider Name | Dallas Michael Dick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285809772 PECOS PAC ID: 3971809153 Enrollment ID: I20160315000795 |
| Provider Name | Bruce H Weng |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952472425 PECOS PAC ID: 0042314288 Enrollment ID: I20160908001930 |
| Provider Name | Debra Lainson Stottlemyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396767646 PECOS PAC ID: 0547156119 Enrollment ID: I20161003000671 |
| Provider Name | Lynnetta Enid Skoretz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023110343 PECOS PAC ID: 4587817457 Enrollment ID: I20161005001978 |
| Provider Name | Daren Gregory Rudisaile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477998862 PECOS PAC ID: 0648558510 Enrollment ID: I20161027000600 |
| Provider Name | Lindsey Lee Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851645642 PECOS PAC ID: 1850679671 Enrollment ID: I20161031000446 |
| Provider Name | Joshua B Coney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376987669 PECOS PAC ID: 4183905474 Enrollment ID: I20161228000959 |
| Provider Name | Alexander Friedman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225441058 PECOS PAC ID: 4385925213 Enrollment ID: I20170106001722 |
| Provider Name | Mariam Mourad Gilmore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033529110 PECOS PAC ID: 7517238181 Enrollment ID: I20170801002079 |
| Provider Name | Simon Christopher Lao Lim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578976593 PECOS PAC ID: 0345514345 Enrollment ID: I20170914000737 |
| Provider Name | Patrick Wu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124448378 PECOS PAC ID: 7315211836 Enrollment ID: I20170922000422 |
| Provider Name | Kelly Ryan Downey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891059523 PECOS PAC ID: 5395040935 Enrollment ID: I20170926002199 |
| Provider Name | Sudipta Mohanty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447663695 PECOS PAC ID: 5496029506 Enrollment ID: I20170927003122 |
| Provider Name | Ronald Jeffrey Mccowan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801937313 PECOS PAC ID: 1850298928 Enrollment ID: I20171012000968 |
| Provider Name | Dafne Tatiana Moretta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568753986 PECOS PAC ID: 2668619453 Enrollment ID: I20171026003409 |
| Provider Name | Michael Terry Ulrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598152183 PECOS PAC ID: 4385991355 Enrollment ID: I20180721000071 |
| Provider Name | Haik Yanashyan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619380433 PECOS PAC ID: 4284983206 Enrollment ID: I20180823001749 |
| Provider Name | Nancy Ann Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962863993 PECOS PAC ID: 4789918079 Enrollment ID: I20190619003346 |
| Provider Name | Lynette Espino Ilano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477917524 PECOS PAC ID: 4981938248 Enrollment ID: I20190620002785 |
| Provider Name | Dai Hong Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730542192 PECOS PAC ID: 5799010245 Enrollment ID: I20190705001171 |
| Provider Name | Shannon Marie Valdez Carbajal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598129587 PECOS PAC ID: 6800123142 Enrollment ID: I20190809001333 |
| Provider Name | Suman Bahadur Thapamagar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538484936 PECOS PAC ID: 8022251859 Enrollment ID: I20190912000500 |
| Provider Name | Nicole Unjo Choi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467809012 PECOS PAC ID: 8426387648 Enrollment ID: I20190912001110 |
| Provider Name | Adnan Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629429980 PECOS PAC ID: 8426392523 Enrollment ID: I20190916002952 |
| Provider Name | Nneka Chioma Oluoha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770014615 PECOS PAC ID: 9335570712 Enrollment ID: I20200519002901 |
| Provider Name | Seema Mukadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922531110 PECOS PAC ID: 8325469604 Enrollment ID: I20200522002436 |
| Provider Name | Moosa Azadian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013443746 PECOS PAC ID: 2769804301 Enrollment ID: I20200626002027 |
| Provider Name | Jonathan Kyung Suk Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255864211 PECOS PAC ID: 5092138024 Enrollment ID: I20200709002967 |
| Provider Name | Almira Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356738389 PECOS PAC ID: 1254670441 Enrollment ID: I20200710000668 |
| Provider Name | Naila A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407303324 PECOS PAC ID: 1153744750 Enrollment ID: I20200714002669 |
| Provider Name | Daniel Celeo Solis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619464161 PECOS PAC ID: 7517385115 Enrollment ID: I20200914002880 |
| Provider Name | Jennifer Ann Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841873486 PECOS PAC ID: 1759781321 Enrollment ID: I20210618000810 |
| Provider Name | Kimberly Gale Borden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063900165 PECOS PAC ID: 7719381755 Enrollment ID: I20210812001478 |
| Provider Name | Angel Lynn Rosilez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073086765 PECOS PAC ID: 8224434980 Enrollment ID: I20210902003415 |
| Provider Name | Benjamin John Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871140772 PECOS PAC ID: 2466858626 Enrollment ID: I20210914000693 |
| Provider Name | Jeffrey Bonenfant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780094755 PECOS PAC ID: 7517344690 Enrollment ID: I20220510002629 |
| Provider Name | Cailey Lushanko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386387090 PECOS PAC ID: 5294113452 Enrollment ID: I20220601000810 |
| Provider Name | Elaine Nguyen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386092815 PECOS PAC ID: 5698154680 Enrollment ID: I20220622001521 |
| Provider Name | Jackson Heilbronn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811550072 PECOS PAC ID: 7517347164 Enrollment ID: I20220629002052 |
| Provider Name | Grace Satterfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457090086 PECOS PAC ID: 1153701636 Enrollment ID: I20220629003268 |
| Provider Name | Ariel Shimmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669111894 PECOS PAC ID: 5890176838 Enrollment ID: I20220721002068 |
| Provider Name | Eunwoo Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073178091 PECOS PAC ID: 5496138190 Enrollment ID: I20220812001838 |
| Provider Name | Jonathan Hamilton Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922561265 PECOS PAC ID: 2163806506 Enrollment ID: I20220901003365 |
| Provider Name | Mallory Eve Mendez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336688373 PECOS PAC ID: 4789960063 Enrollment ID: I20220930003112 |
| Provider Name | Francesca Paterno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285299230 PECOS PAC ID: 6406212091 Enrollment ID: I20230524002470 |
| Provider Name | Viet Trinh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417515248 PECOS PAC ID: 8820455942 Enrollment ID: I20230606000824 |
| Provider Name | Maxwill Dylan Pomerantz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629631130 PECOS PAC ID: 4587022199 Enrollment ID: I20230614000487 |
| Provider Name | Jay Hwang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972124295 PECOS PAC ID: 6800256090 Enrollment ID: I20230719003640 |
| Provider Name | Carlos Eduardo Gomez-mustafa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538796107 PECOS PAC ID: 2264836451 Enrollment ID: I20230726001402 |
| Provider Name | Bobae Lee Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669033411 PECOS PAC ID: 5890156608 Enrollment ID: I20230726002203 |
| Provider Name | Derrick Anthony Cleland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720614712 PECOS PAC ID: 4486015591 Enrollment ID: I20230804000826 |
| Provider Name | Thai Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295361343 PECOS PAC ID: 8820450877 Enrollment ID: I20230808003578 |
| Provider Name | Sahil Batra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902435191 PECOS PAC ID: 2062874860 Enrollment ID: I20230810002285 |
| Provider Name | Roya Darioosh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316576630 PECOS PAC ID: 6406218916 Enrollment ID: I20230816000432 |
| Provider Name | Sujay Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679192272 PECOS PAC ID: 9739542952 Enrollment ID: I20230905003223 |
| Provider Name | Arunmozhi Aravagiri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750888095 PECOS PAC ID: 4880097666 Enrollment ID: I20230920004062 |
| Provider Name | Mario Antonio Saldana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033738919 PECOS PAC ID: 3870957335 Enrollment ID: I20231229001832 |
| Provider Name | Farhan Dadani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760866297 PECOS PAC ID: 3779831938 Enrollment ID: I20240229004563 |
Riverside University Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 Fax: 951-486-4435 | |
Antonio A. Tan, Md, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite D, Moreno Valley, CA 92553 Phone: 951-485-2744 Fax: 951-485-2749 | |
Dong S. Kim, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11441 Heacock St, Ste. F, Moreno Valley, CA 92557 Phone: 951-243-8000 Fax: 951-243-9707 | |
Planned Parenthood Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 951-222-3101 | |
Joel A Pengson, Md, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23180 Hemlock Ave, Moreno Valley, CA 92557 Phone: 951-243-6460 | |
John Liquete Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553 Phone: 951-697-1150 | |
Yogendra B Patel,md,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite J, Moreno Valley, CA 92553 Phone: 951-924-9300 Fax: 951-485-0240 |