Individual provider Active NPI

Timothy Daniel Collins, DO

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1366905473
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20221 Issued in CA
Practice address
Riverside Community Hospital, 4445 Magnolia Ave., Gme
Office
Riverside, CA 92501
Phone
(951) 788-3000
NPI assigned
Apr 8, 2019
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20221 CA Primary

Addresses

Primary practice location

Riverside Community Hospital, 4445 Magnolia Ave., Gme
Office
Riverside, CA 92501

Mailing address

Riverside Community Hospital, 4445 Magnolia Ave., Gme
Office
Riverside, CA 92501
Phone (951) 788-3000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013002858 CA Practitioner - Internal Medicine 6305212473 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Providence Healthcare Partners IncGroup PAC ID 2163723610, 26 clinicians

Practice addresses (Care Compare)

1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (909) 887-6333

3865 Jackson St
Riverside, CA 92503-3919
Phone (951) 688-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20221CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darin Rentz DO PC CurrentSince Jun 1, 2023 Accepting new patients
Providence Healthcare Partners,, Inc CurrentSince Sep 1, 2022 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Dec 25, 2024 Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

12223 Highland Ave
Ste 106526
Rancho Cucamonga, CA 91739
Phone (714) 676-3880

12223 Highland Ave
#106526
Rch Cucamonga, CA 91739

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4445 Magnolia Ave
Ofc
Riverside, CA 92501

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

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

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

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1366905473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RIVERSIDE COMMUNITY HOSPITAL, 4445 MAGNOLIA AVE., GME",
            "address_2": "OFFICE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92501",
            "telephone_number": "951-788-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIVERSIDE COMMUNITY HOSPITAL, 4445 MAGNOLIA AVE., GME",
            "address_2": "OFFICE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92501",
            "telephone_number": "951-788-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TIMOTHY",
        "middle_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.