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RAINCROSS MEDICAL GROUP INC NPI 1194712315


NPI Information

NPI: 1194712315
Provider Name: RAINCROSS MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2258539

Address:
4646 BROCKTON AVE
RIVERSIDE, CA
ZIP 92506
Phone: (951) 774-2881
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RAINCROSS MEDICAL GROUP INC is a family medicine in Riverside, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RAINCROSS MEDICAL GROUP INC NPI is 1194712315. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4646 BROCKTON AVE
RIVERSIDE, CA
ZIP 92506-102
Phone: (951) 774-2881
Fax: (951) 774-2846

The provider's authorized official is Deborah Ann Novellino .
The authorized official title is Executive Director and has the following contact phone number (951) 774-2881.

The CLIA number assigned to this NPI record is 05D2258539 - other - physician office & urgent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 7/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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