365 Mdcare Inc
Organization Active NPI Internal Medicine Physician · Riverside, CA
NPI 1164869780 · NPPES record last updated Apr 30, 2020
Key facts
- NPI
- 1164869780
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- 365 MDCARE INC
- Practice address
- 9041 Magnolia Ave
Suite 302
Riverside, CA 92503-3900 - Phone
- (951) 637-9999
- NPI assigned
- May 23, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Nguyen, M.D.
- Title
- President
- Phone
- (951) 637-9999
Practitioners 4
-
Son Ngoc Nguyen, M.D.
-
Norman Orr, D.O.
-
Robert W Nguyen, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130829000269 | CA | Part B Supplier - Clinic/Group Practice | 8224271887 |
Receives reassigned benefits from 4 practitioners Practice locations: San Bernardino, CA; Riverside, CA; Montclair, CA |
National Provider Directory
Locations
5050 Palo Verde St
Ste 203
Montclair, CA 91763
Phone (951) 637-9999
691 Indian Hill Blvd
#679
Pomona, CA 91767
9041 Magnolia Ave
Ste 302
Riverside, CA 92503
Phone (562) 349-0030
1033 N Waterman Ave
Ste E
San Bernardino, CA 92410
Phone (909) 383-9385
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
9041 Magnolia Ave
Suite 302
Riverside, CA 92503-3900
Mailing address
15777 S Cliff CT
Riverside, CA 92503-5493
Phone (951) 637-9999
Other providers in Riverside, CA
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- 24/7 Radiology Solutions West PC
- 2Waze Service Inc
- 360 Health Dce, Inc.
- 3Ace Medical Supply, Inc.
- 3Dr Imaging Services, LLC
- 3E Pharmacy Inc
- 4 Winds Cultural Counseling & Wellness Center, Licensed Clinical Social Worker, Inc.
- 4JRM Care Homes LLC
All providers in Riverside, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.