Individual provider Active NPI

Adam M Payne, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1154847986
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007052 Issued in CA
Practice address
4100 Central Ave
201
Riverside, CA 92506-9250
Phone
(951) 371-6600
NPI assigned
Aug 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007052 CA Primary

Addresses

Primary practice location

4100 Central Ave
201
Riverside, CA 92506-9250

Mailing address

4100 Central Ave
201
Riverside, CA 92506-2933
Phone (951) 371-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180420000510 CA Practitioner - Nurse Practitioner 7214290428 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Corona, CA 92879
Phone (657) 234-7540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Lung Institute Professional Corporation CurrentSince Aug 7, 2024 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Jul 10, 2019 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Western Comprehensive Care Clinic PC CurrentSince May 1, 2024 Accepting new patients
Payne Family Nursing and Wellness Inc Family CurrentSince Sep 18, 2024 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Jul 10, 2019 Accepting new patients
Western Institute of Critical Care Medicine, Inc CurrentSince Dec 1, 2022 Accepting new patients
French Medical Corp CurrentSince Mar 4, 2018 Accepting new patients

Locations

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

2079 Compton Ave
Ste 101-A
Corona, CA 92881
Phone (951) 371-6600

351 Corporate Terrace Cir
Corona, CA 92879
Phone (657) 234-7540

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

4100 Central Ave
Ste 201
Riverside, CA 92506
Phone (951) 268-8840

19069 Van Buren Blvd
Ste 114
Riverside, CA 92508
Phone (772) 233-0677

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1154847986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 CENTRAL AVE",
            "address_2": "201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062933",
            "telephone_number": "951-371-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CENTRAL AVE",
            "address_2": "201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925069250",
            "telephone_number": "951-371-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.