| Riverside Primary Care Doctors-inc | |
|
9041 Magnolia Ave Ste 6 Riverside CA 92503-3941 | |
| (951) 224-6000 | |
| (951) 228-0206 |
| Full Name | Riverside Primary Care Doctors-inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9041 Magnolia Ave Ste 6, Riverside, California |
| Authorized Official Name and Position | Fady Fayad (CEO/OWNER) |
| Authorized Official Contact | 9512246000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Primary Care Doctors-inc 9041 Magnolia Ave Ste 6 Riverside CA 92503-3941 Ph: (951) 224-6000 | Riverside Primary Care Doctors-inc 9041 Magnolia Ave Ste 6 Riverside CA 92503-3941 Ph: (951) 224-6000 |
| NPI Number | 1831812072 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Medicare PECOS PAC ID | 2668844390 |
|---|---|
| Medicare Enrollment ID | O20230207000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831812072 | NPI | - | NPPES |
| C172881 | Other | CA | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Arian Kakar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871167346 PECOS PAC ID: 0840699526 Enrollment ID: I20210528002310 |
| Provider Name | Fady Fayad Fayad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205862612 PECOS PAC ID: 6103892807 Enrollment ID: I20230208002631 |
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