Individual provider Active NPI

Adnan Misellati, M.D.

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1063654564
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A115540 Issued in CA
Practice address
7117 Brockton Ave
Riverside, CA 92506-2658
Phone
(951) 782-3616
NPI assigned
Mar 30, 2009
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A115540 CA Primary
Hospitalist Physician 208M00000X 115540 CA

Addresses

Primary practice location

7117 Brockton Ave
Riverside, CA 92506-2658

Mailing address

7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 782-3616

Other practice location 1

4010 Aerial Way
Eugene, OR 97402-9757
Phone (541) 687-6353

Other practice location 2

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (541) 912-9551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110831000290 CA Practitioner - Family PracticePractitioner - Hospitalist 1557414844 Reassigns benefits to 12 organizations
I20240119002162 FL Practitioner - Hospitalist 1557414844

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alertive Healthcare Medical Group ApcGroup PAC ID 9335543974, 39 clinicians

Practice addresses (Care Compare)

4354 Latham St
Suite 100
Riverside, CA 92501-1777
Phone (951) 466-6628

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
115540CAMDSocial Worker
A115540CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Nov 1, 2024 Accepting new patients
Department of State Hospitals Current Accepting new patients
Department of State Hospitals CurrentSince Nov 1, 2024 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jan 6, 2020 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jan 6, 2020 Accepting new patients
Lakewood Hospitalist Medical Group, Inc CurrentSince Nov 18, 2024 Accepting new patients
Inland Physicians Hospitalist Services Hospitalist CurrentSince Mar 16, 2024 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Dec 1, 2014 Accepting new patients
Sunrise Medical Associates Inc Hospitalist CurrentSince Feb 1, 2025 Accepting new patients
Hospitalist Group of Montebello Inc Hospitalist CurrentSince Feb 1, 2025 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
United Hospitalist Inc. CurrentSince Sep 1, 2024 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Hospital Medicine of California Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Symphony Specialty Group, LLC CurrentSince Jan 15, 2024 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Dec 19, 2017 Accepting new patients

Locations

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

9525 Monte Vista Ave
Unit 105
Montclair, CA 91763
Phone (909) 626-1205

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

7974 Haven Ave
Ste 210
Rch Cucamonga, CA 91730
Phone (909) 941-0661

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

8613 Old Kings Rd S
Ste 602
Jacksonville, FL 32217
Phone (904) 493-3390

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1063654564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062658",
            "telephone_number": "951-782-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062658",
            "telephone_number": "951-782-3616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 Aerial Way",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974029757",
            "country_code": "US",
            "telephone_number": "541-687-6353",
            "fax_number": "541-242-8413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014135",
            "country_code": "US",
            "telephone_number": "541-912-9551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISELLATI",
        "first_name": "ADNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A115540",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "115540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.