Active NPI
Riverside Natural Image LLC
- Durable Medical Equipment & Medical Supplies
- Riverside, CA
National Provider Identifier
1033715776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RIVERSIDE NATURAL IMAGE LLC
- Practice address
- 4148 10TH St
Riverside, CA 92501-3110 - Phone
- (951) 781-9327
- Fax
- (951) 781-9380
- NPI assigned
- Dec 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colene C Hitt
- Title
- General Manager
- Phone
- (951) 956-1087
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4148 10TH St
Riverside, CA 92501-3110
Mailing address
1103 Stewart Ave Ste 100
Garden City, NY 11530-4886
Phone (951) 781-9327
Other names 1
- GRAFF TECHNOLOGY
National Provider Directory
National Provider DirectoryLocations
4148 10th St
Riverside, CA 92501
Phone (951) 781-9327
1103 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 745-1177
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Riverside, CA
- NPI 1295350668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607385600000",
"number": "1033715776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 STEWART AVE STE 100",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304886",
"telephone_number": "951-781-9327",
"fax_number": "951-781-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4148 10TH ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013110",
"telephone_number": "951-781-9327",
"fax_number": "951-781-9380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE NATURAL IMAGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A",
"authorized_official_last_name": "HITT",
"authorized_official_first_name": "COLENE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "951-956-1087"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GRAFF TECHNOLOGY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.