NPIMap

Organization Active NPI

Southern California Transplantation Associates Inc

Doing business as Riverside Transplantation Institute

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1447277231
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A37140 Issued in CA
Legal business name
SOUTHERN CALIFORNIA TRANSPLANTATION ASSOCIATES INC
Doing business as
Riverside Transplantation Institute
Practice address
4500 Brockton Ave.
Suite 306
Riverside, CA 92501-4027
Phone
(951) 275-9000
Fax
(951) 275-5262
NPI assigned
Jul 16, 2006
Last updated
Dec 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Mrs. Maria Benavides
Title
Office Manager
Phone
(951) 275-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A37140 CA Primary

Addresses

Primary practice location

4500 Brockton Ave.
Suite 306
Riverside, CA 92501-4027

Mailing address

4500 Brockton Ave.
Suite 306
Riverside, CA 92501-4027
Phone (951) 275-9000

Other identifiers 1

IdentifierTypeStateIssuer
00A371400MedicaidCA

Other names 1

  • Riverside Transplantation Institute Doing business as

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1447277231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE.",
            "address_2": "SUITE 306",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014027",
            "telephone_number": "951-275-9000",
            "fax_number": "951-275-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE.",
            "address_2": "SUITE 306",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014027",
            "telephone_number": "951-275-9000",
            "fax_number": "951-275-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA TRANSPLANTATION ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-275-9000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A37140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A371400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Transplantation Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Transplantation Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.