Doctors Hospital of Riverside LLC
Organization Active NPI General Acute Care Hospital · Riverside, CA
NPI 1124596382 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1124596382
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- DOCTORS HOSPITAL OF RIVERSIDE LLC
- Practice address
- 3865 Jackson St
Riverside, CA 92503-3919 - Phone
- (951) 688-2211
- NPI assigned
- Nov 6, 2018
- Organization subpart
- No
Authorized official
- Name
- Eric Cheung
- Title
- Attorney
- Phone
- (213) 972-4638
Owners & managing parties with NPI records 3
Member of 1
Facilities with the same owner 17
Practitioners 273
-
Robin Philip Abdelmalik, M.D. FACC
-
Amir Abdi Pour, MD
-
George Ahad, MD
-
Soha Ahmad, M.D.
-
Syed Nawas Ahmed, DPM
-
Jack H Akmakjian, MD
-
Ahmad Alazzeh, MD
-
Farah Almudhafar, MD
-
Ahmad M. Alturjuman, M.D., F.A.C.C.
-
Jatin N. Amin, MD
-
Bradley T. Andersen, M.D.
-
Matthew Clay Anderson, P.A.
-
Massimo Arcerito, MD
-
Maninder P Arora, MD
-
Naseem Ahmed Attar, M.D.
-
Roy Daniel Ayalon, M.D.
-
Rizwan Badar, M.D.
-
Michael Baluyut, MD
-
Rehana S. Baqai, M.D.
-
Salahud-Din Ahmad Baqai, M.D.
Affiliated clinicians 134
-
Amir Abdi Pour, MD
-
Faraz Afridi, MD
-
Maria Ojeda Akamnonu, M.D.
-
Scott Jeffrey Anderson, M.D.
-
Heeten Vasudev Bhoot, D.O.
-
Mimi Sen Biswas, M.D., MHS
-
Syed W Bokhari, M. D.
-
Stephen Carney, M.D.
-
Krishi Chanduri, M.D.
-
Andrew Tze-Ray Cheung, M.D.
-
Michael Sywe-Yung Chin, M.D.
-
Gene Choi, MD
-
Eric Sun Chu, MD
-
Tin Thanh Chu, MD
Medicare Care Compare: Hospital
- Listed as
- Parkview Community Hospital Medical Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0575478 | Doctors Hospital of Riverside | Accreditation | Jan 2, 2027 |
| 05D0965732 | Doctors Hospital of Riverside | Certificate of waiver | Sep 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospital certification: CCN 050102
- Legal name
- DOCTORS HOSPITAL OF RIVERSIDE LLC
- Doing business as
- PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Dec 12, 2019
- Beds
- 193
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Jul 1, 2019 (3 total)
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 16, 2018 in CA
- Enrollment address
- 3865 Jackson St
Riverside, CA 92503-3919 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Linda Marsh |
Corporate Officer | Jul 1, 2019 | |
| Ahmc, Inc. |
5% Or Greater Indirect Ownership Interest | Sep 19, 2018 | 7.64% |
| Mochi Group LP |
5% Or Greater Direct Ownership Interest | Sep 19, 2018 | 19% |
| Olivia Joy Investment Corp |
5% Or Greater Direct Ownership Interest | Sep 19, 2018 | 20% |
| Hung Wen Wu |
5% Or Greater Indirect Ownership Interest | Sep 19, 2018 | 32.73% |
| Ahmc Healthcare Inc. |
Operational/Managerial Control | Sep 19, 2018 | 0.25% |
| Ahmc Healthcare, LP |
5% Or Greater Direct Ownership Interest | Sep 19, 2018 | 60.75% |
| Joy Yu Chu Lin |
5% Or Greater Indirect Ownership Interest | Sep 19, 2018 | 10% |
| Yi Kun Wu |
5% Or Greater Indirect Ownership Interest | Sep 19, 2018 | 7.64% |
| Jonathan Y.H. Wu |
5% Or Greater Indirect Ownership Interest | Sep 19, 2018 | 8.02% |
| Operational/Managerial Control |
Sep 19, 2018 | ||
| Amy Shlow- Yeh Liang |
5% Or Greater Indirect Ownership Interest | Sep 19, 2018 | 5.45% |
| David J Batista |
Corporate Officer |
Jul 1, 2019 | |
| Operational/Managerial Control |
Jul 1, 2019 | ||
| Matthew Yuan Ching Lin |
5% Or Greater Indirect Ownership Interest | Sep 19, 2018 | 10% |
| Alhambra Hospital Medical Center, LP |
5% Or Greater Indirect Ownership Interest | Sep 19, 2018 | 19.88% |
| Bin Fen Cheng |
5% Or Greater Indirect Ownership Interest | Sep 19, 2018 | 19% |
| Calmed Investment LP |
5% Or Greater Indirect Ownership Interest | Sep 19, 2018 | 34.67% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181211002900 | CA | Part a Provider - Hospital | 8820332240 | Practice locations: Riverside, CA |
National Provider Directory
Locations (25 of 27)
16003 Tuscola Rd
Apple Valley, CA 92307
818 Magnolia Ave
#102
Corona, CA 92879
102 E 6th St
Ste 200
Corona, CA 92879
Phone (951) 279-6666
12442 Limonite Ave
Unit 203
Eastvale, CA 91752
Phone (951) 821-5188
11180 Warner Ave
Ste 457
Fountain Vly, CA 92708
Phone (714) 486-2120
10 Post
Irvine, CA 92618
Phone (949) 266-0997
12980 Frederick St
Ste A
Moreno Valley, CA 92553
Phone (951) 924-0108
14114 Business Center Dr
Ste A
Moreno Valley, CA 92553
Phone (951) 697-4133
28078 Baxter Rd
Ste 420
Murrieta, CA 92563
Phone (951) 566-9370
3655 E Ramon Rd
Palm Springs, CA 92264
Phone (760) 327-9400
215 W 4th St
Perris, CA 92570
Phone (909) 486-5700
1275 N Rose Dr
Ste 104
Placentia, CA 92870
Phone (714) 637-1900
19314 Jesse Ln
Riverside, CA 92508
Phone (951) 782-3640
7101 Magnolia Ave
Ste A
Riverside, CA 92504
Phone (951) 682-9780
3975 Jackson St
Ste 107
Riverside, CA 92503
Phone (714) 353-0333
3975 Jackson St
Ste 207
Riverside, CA 92503
Phone (951) 352-2092
3576 Arlington Ave
Ste 301
Riverside, CA 92506
Phone (951) 682-4560
3838 Sherman Dr
Ste 203
Riverside, CA 92503
Phone (951) 785-6767
3975 Jackson St
Ste 202
Riverside, CA 92503
Phone (951) 352-7920
9041 Magnolia Ave
Ste 9
Riverside, CA 92503
Phone (951) 351-1200
4351 Latham St
#101
Riverside, CA 92501
6485 Day St
Ste 206
Riverside, CA 92507
Phone (951) 697-7823
3660 Park Sierra Dr
Ste 105
Riverside, CA 92505
Phone (951) 278-8870
9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755
18411 Clark St
Ste 107
Tarzana, CA 91356
Phone (818) 342-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
3865 Jackson St
Riverside, CA 92503-3919
Mailing address
55 S Raymond Ave Ste 105
Alhambra, CA 91801-7101
Phone (626) 289-9004
Other names
- Parkview Community Hospital Medical Center
NPI Registry JSON
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578873600000",
"number": "1124596382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 S RAYMOND AVE STE 105",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918017101",
"telephone_number": "626-289-9004",
"fax_number": "626-289-8952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3865 JACKSON ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033919",
"telephone_number": "951-688-2211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS HOSPITAL OF RIVERSIDE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-06",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A",
"authorized_official_last_name": "CHEUNG",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "ATTORNEY",
"authorized_official_telephone_number": "213-972-4638"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Parkview Community Hospital Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Riverside, CA
- Vien D Doan
- Brandi Dobbins
- Pamela J Dobbins
- Lisa Dockery
- Doctorite Physician Group
- Gelshi Dodard
- Allan Dodge
- Jordan Dodge
- Braylin Dodson
- Byron Dodson
All providers in Riverside, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.