Riverside Faculty Medical Group Inc - Medicare Primary Care in Moreno Valley, CA

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Riverside Faculty Medical Group Inc is a medicare enrolled primary clinic (Internal Medicine) in Moreno Valley, California. The current practice location for Riverside Faculty Medical Group Inc is 26520 Cactus Ave, Moreno Valley, California. For appointments, you can reach them via phone at (951) 486-5700. The mailing address for Riverside Faculty Medical Group Inc is Po Box 7270, Moreno Valley, California and phone number is (951) 486-5700.

Riverside Faculty Medical Group Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124032461. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (951) 486-5700.

Contact Information

Riverside Faculty Medical Group Inc
26520 Cactus Ave
Moreno Valley
CA 92555-3927
(951) 486-5700
(951) 486-5705

Map and Direction


Primary Care Clinic Profile

Full NameRiverside Faculty Medical Group Inc
SpecialityInternal Medicine
Location26520 Cactus Ave, Moreno Valley, California
Authorized Official Name and PositionDaniel Kim (MD/PRESIDENT)
Authorized Official Contact9514865701
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1124032461
Provider Enumeration Date07/29/2006
Last Update Date03/20/2013

Medicare PECOS Information:

Medicare PECOS PAC ID9436253515
Medicare Enrollment IDO20070329000259

Medical Identifiers

Medical identifiers for Riverside Faculty Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124032461NPI-NPPES
GR0061940MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Riverside Faculty Medical Group Inc acts as a billing entity for following providers:
Provider NameRoger C Garrison
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013941475
PECOS PAC ID: 8022003227
Enrollment ID: I20040416001490
Provider NameRamiz Fargo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699705509
PECOS PAC ID: 5193710390
Enrollment ID: I20040416001503
Provider NameDaniel Il-sun Kim
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1295769651
PECOS PAC ID: 6507851599
Enrollment ID: I20040419000939
Provider NameGary John Thompson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316971468
PECOS PAC ID: 1850373937
Enrollment ID: I20040602001461
Provider NameMorteza Chitsazan
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1164513677
PECOS PAC ID: 4981651304
Enrollment ID: I20050406001291
Provider NameMade Sutjita
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1053428334
PECOS PAC ID: 2860430238
Enrollment ID: I20050418000876
Provider NameLakshmi K Puvvula
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1295848174
PECOS PAC ID: 2668416249
Enrollment ID: I20050614001367
Provider NamePamela E Yamanishi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245307057
PECOS PAC ID: 8426066382
Enrollment ID: I20060404000323
Provider NameMichele Idera
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1639154537
PECOS PAC ID: 1254435605
Enrollment ID: I20070326000102
Provider NameMinho Yu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871700278
PECOS PAC ID: 9537251293
Enrollment ID: I20070825000138
Provider NameDat To
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194924233
PECOS PAC ID: 7517049307
Enrollment ID: I20080201000264
Provider NameWalter F Klein
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1366645491
PECOS PAC ID: 9133288749
Enrollment ID: I20081111000266
Provider NameNeha Pandey
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1861643066
PECOS PAC ID: 0648333831
Enrollment ID: I20090114000528
Provider NameIlho Kang
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1578754602
PECOS PAC ID: 7618021536
Enrollment ID: I20090812000208
Provider NameWilliam Ochoa
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1558574954
PECOS PAC ID: 7810041241
Enrollment ID: I20090819000277
Provider NameDuc D To
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629205216
PECOS PAC ID: 9537213673
Enrollment ID: I20090824000644
Provider NameHuy D Au
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1710165998
PECOS PAC ID: 1355487067
Enrollment ID: I20091012000139
Provider NameIqbal Munir
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1386822690
PECOS PAC ID: 2961536735
Enrollment ID: I20100816000403
Provider NameIvy C Issa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891796165
PECOS PAC ID: 0648248096
Enrollment ID: I20101109001473
Provider NameChristina Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235251927
PECOS PAC ID: 4385824796
Enrollment ID: I20110202000131
Provider NameAnthony F Firek
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1861462640
PECOS PAC ID: 4880874411
Enrollment ID: I20110214000650
Provider NameZebayel Akele Baye
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1093988628
PECOS PAC ID: 9638349582
Enrollment ID: I20110831000715
Provider NameTruclinh Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134385685
PECOS PAC ID: 7517139389
Enrollment ID: I20111021000013
Provider NameSadia S Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225271125
PECOS PAC ID: 2668621558
Enrollment ID: I20121010000025
Provider NameEarl P Ilano
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1417199969
PECOS PAC ID: 4981855392
Enrollment ID: I20121113000178
Provider NameAli Motabar
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1447492467
PECOS PAC ID: 0840442927
Enrollment ID: I20121219000127
Provider NameBenjamin Tabibian
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1609192426
PECOS PAC ID: 8325287485
Enrollment ID: I20130620000574
Provider NameZahra Pakbaz
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1942463377
PECOS PAC ID: 0547402091
Enrollment ID: I20130812000806
Provider NameKathie K Huang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407175342
PECOS PAC ID: 7618107640
Enrollment ID: I20140313000086
Provider NameDestry G Washburn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992021463
PECOS PAC ID: 9234352402
Enrollment ID: I20140516000803
Provider NameYona Ardiles
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1285950030
PECOS PAC ID: 0648496034
Enrollment ID: I20140721000840
Provider NameBrandon Lee Nathaniel
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1851550834
PECOS PAC ID: 1557587896
Enrollment ID: I20140723001293
Provider NameMichael H Ree
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1952692287
PECOS PAC ID: 6103042163
Enrollment ID: I20140728001503
Provider NameTri T Luu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1396056610
PECOS PAC ID: 2961619135
Enrollment ID: I20150915002693
Provider NameLily J Tiao
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922477306
PECOS PAC ID: 4183933179
Enrollment ID: I20151013001838
Provider NameAarti C Mittal
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1194035691
PECOS PAC ID: 7113237389
Enrollment ID: I20151030002070
Provider NameHeidi Scalzitti
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1588956783
PECOS PAC ID: 5395055446
Enrollment ID: I20151102002732
Provider NameMatthew S Mccarty
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1992095434
PECOS PAC ID: 2668772344
Enrollment ID: I20151202000975
Provider NameDallas Michael Dick
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1285809772
PECOS PAC ID: 3971809153
Enrollment ID: I20160315000795
Provider NameBruce H Weng
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1952472425
PECOS PAC ID: 0042314288
Enrollment ID: I20160908001930
Provider NameDebra Lainson Stottlemyer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396767646
PECOS PAC ID: 0547156119
Enrollment ID: I20161003000671
Provider NameLynnetta Enid Skoretz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023110343
PECOS PAC ID: 4587817457
Enrollment ID: I20161005001978
Provider NameDaren Gregory Rudisaile
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1477998862
PECOS PAC ID: 0648558510
Enrollment ID: I20161027000600
Provider NameLindsey Lee Block
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851645642
PECOS PAC ID: 1850679671
Enrollment ID: I20161031000446
Provider NameJoshua B Coney
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376987669
PECOS PAC ID: 4183905474
Enrollment ID: I20161228000959
Provider NameAlexander Friedman
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1225441058
PECOS PAC ID: 4385925213
Enrollment ID: I20170106001722
Provider NameMariam Mourad Gilmore
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1033529110
PECOS PAC ID: 7517238181
Enrollment ID: I20170801002079
Provider NameSimon Christopher Lao Lim
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1578976593
PECOS PAC ID: 0345514345
Enrollment ID: I20170914000737
Provider NamePatrick Wu
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1124448378
PECOS PAC ID: 7315211836
Enrollment ID: I20170922000422
Provider NameKelly Ryan Downey
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1891059523
PECOS PAC ID: 5395040935
Enrollment ID: I20170926002199
Provider NameSudipta Mohanty
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447663695
PECOS PAC ID: 5496029506
Enrollment ID: I20170927003122
Provider NameRonald Jeffrey Mccowan
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1801937313
PECOS PAC ID: 1850298928
Enrollment ID: I20171012000968
Provider NameDafne Tatiana Moretta
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1568753986
PECOS PAC ID: 2668619453
Enrollment ID: I20171026003409
Provider NameMichael Terry Ulrich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598152183
PECOS PAC ID: 4385991355
Enrollment ID: I20180721000071
Provider NameHaik Yanashyan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619380433
PECOS PAC ID: 4284983206
Enrollment ID: I20180823001749
Provider NameNancy Ann Tran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962863993
PECOS PAC ID: 4789918079
Enrollment ID: I20190619003346
Provider NameLynette Espino Ilano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477917524
PECOS PAC ID: 4981938248
Enrollment ID: I20190620002785
Provider NameDai Hong Pham
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1730542192
PECOS PAC ID: 5799010245
Enrollment ID: I20190705001171
Provider NameShannon Marie Valdez Carbajal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598129587
PECOS PAC ID: 6800123142
Enrollment ID: I20190809001333
Provider NameSuman Bahadur Thapamagar
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1538484936
PECOS PAC ID: 8022251859
Enrollment ID: I20190912000500
Provider NameNicole Unjo Choi
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1467809012
PECOS PAC ID: 8426387648
Enrollment ID: I20190912001110
Provider NameAdnan Mohsin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629429980
PECOS PAC ID: 8426392523
Enrollment ID: I20190916002952
Provider NameNneka Chioma Oluoha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770014615
PECOS PAC ID: 9335570712
Enrollment ID: I20200519002901
Provider NameSeema Mukadam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922531110
PECOS PAC ID: 8325469604
Enrollment ID: I20200522002436
Provider NameMoosa Azadian
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1013443746
PECOS PAC ID: 2769804301
Enrollment ID: I20200626002027
Provider NameJonathan Kyung Suk Min
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255864211
PECOS PAC ID: 5092138024
Enrollment ID: I20200709002967
Provider NameAlmira Yang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356738389
PECOS PAC ID: 1254670441
Enrollment ID: I20200710000668
Provider NameNaila A Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407303324
PECOS PAC ID: 1153744750
Enrollment ID: I20200714002669
Provider NameDaniel Celeo Solis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619464161
PECOS PAC ID: 7517385115
Enrollment ID: I20200914002880
Provider NameJennifer Ann Vazquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841873486
PECOS PAC ID: 1759781321
Enrollment ID: I20210618000810
Provider NameKimberly Gale Borden
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063900165
PECOS PAC ID: 7719381755
Enrollment ID: I20210812001478
Provider NameAngel Lynn Rosilez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073086765
PECOS PAC ID: 8224434980
Enrollment ID: I20210902003415
Provider NameBenjamin John Caudill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871140772
PECOS PAC ID: 2466858626
Enrollment ID: I20210914000693
Provider NameJeffrey Bonenfant
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780094755
PECOS PAC ID: 7517344690
Enrollment ID: I20220510002629
Provider NameElaine Nguyen
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1386092815
PECOS PAC ID: 5698154680
Enrollment ID: I20220622001521
Provider NameJackson Heilbronn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811550072
PECOS PAC ID: 7517347164
Enrollment ID: I20220629002052
Provider NameEunwoo Park
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073178091
PECOS PAC ID: 5496138190
Enrollment ID: I20220812001838
Provider NameJonathan Hamilton Scott
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922561265
PECOS PAC ID: 2163806506
Enrollment ID: I20220901003365
Provider NameFrancesca Paterno
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1285299230
PECOS PAC ID: 6406212091
Enrollment ID: I20230524002470
Provider NameJay Hwang
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1972124295
PECOS PAC ID: 6800256090
Enrollment ID: I20230719003640
Provider NameCarlos Eduardo Gomez-mustafa
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1538796107
PECOS PAC ID: 2264836451
Enrollment ID: I20230726001402
Provider NameBobae Lee Kim
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1669033411
PECOS PAC ID: 5890156608
Enrollment ID: I20230726002203
Provider NameDerrick Anthony Cleland
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720614712
PECOS PAC ID: 4486015591
Enrollment ID: I20230804000826
Provider NameThai Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295361343
PECOS PAC ID: 8820450877
Enrollment ID: I20230808003578
Provider NameSahil Batra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902435191
PECOS PAC ID: 2062874860
Enrollment ID: I20230810002285
Provider NameRoya Darioosh
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1316576630
PECOS PAC ID: 6406218916
Enrollment ID: I20230816000432
Provider NameSujay Pathak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679192272
PECOS PAC ID: 9739542952
Enrollment ID: I20230905003223
Provider NameArunmozhi Aravagiri-do
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1750888095
PECOS PAC ID: 4880097666
Enrollment ID: I20230920004062
Provider NameMario Antonio Saldana
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033738919
PECOS PAC ID: 3870957335
Enrollment ID: I20231229001832
Provider NameSue Min Sophia Kwon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174152631
PECOS PAC ID: 1052764800
Enrollment ID: I20240128000026
Provider NameFarhan Dadani
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1760866297
PECOS PAC ID: 3779831938
Enrollment ID: I20240229004563

Reviews and Comments


Internal Medicine in Moreno Valley, CA

Riverside University Health System
Primary Care Clinic
Medicare: Not Enrolled in Medicare
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.