La Sierra University Student Health Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A22142 Issued in CA

Legal business name

LA SIERRA UNIVERSITY STUDENT HEALTH SERVICES

Practice address

4500 Riverwalk Pkwy
Riverside, CA 92505-3344

Phone

(951) 785-2200

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Miguelito M Fernando, M.D.

Title

Medical Officer

Phone

(951) 785-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Galindo, LCSW, PPSC

  • Clinical Social Worker
  • Carlsbad, CA
  • NPI 1447914999
  NPD (past)
• Melvin Arthur Quan, MD

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1083760425
  NPD (past)
• Charlotte Zane, M.D.

  • Adult Medicine Physician
  • Riverside, CA
  • NPI 1730379082
  NPD (past)

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1356671804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 RIVERWALK PKWY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053344",
            "telephone_number": "951-785-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 RIVERWALK PKWY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053344",
            "telephone_number": "951-785-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SIERRA UNIVERSITY STUDENT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "MIGUELITO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "951-785-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A22142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Sierra High School
• La Sierra Medical Corp
• La Sierra Medical Corporation
• La Sierra Senior Home LLC
• La Sierra University Health Clinic
• La Vida Clinic Inc
• Shelah La Voyn-Sallis
• Casey Ching La, DMD
• Phu Q La, D.C.
• Phuong Anh Thi La, P.A.-C

• Health Service Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.