NPIMap

Organization Active NPI

Alertive Healthcare Medical Group Apc

Doing business as Intellicare Medical

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1467024331
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALERTIVE HEALTHCARE MEDICAL GROUP APC
Doing business as
Intellicare Medical
Practice address
4354 Latham St Ste 100
Riverside, CA 92501-1777
Phone
(951) 466-6628
Fax
(951) 848-9606
NPI assigned
Jul 12, 2021
Last updated
Apr 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Sivaraman K Gounder, MD
Title
President
Phone
(702) 762-2485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4354 Latham St Ste 100
Riverside, CA 92501-1777

Mailing address

4354 Latham St Ste 100
Riverside, CA 92501-1777
Phone (951) 466-6628

Other names 1

  • INTELLICARE MEDICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210804002898 CA Part B Supplier - Clinic/Group Practice 9335543974 Receives reassigned benefits from 49 practitioners
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

4445 Brockton Ave
Riverside, CA 92501

4500 Brockton Ave
Ste 305
Riverside, CA 92501
Phone (951) 466-6628

32605 Temecula Pkwy
Ste 205
Temecula, CA 92592
Phone (206) 445-9978

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1467024331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4354 LATHAM ST STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011777",
            "telephone_number": "951-466-6628",
            "fax_number": "951-848-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4354 LATHAM ST STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011777",
            "telephone_number": "951-466-6628",
            "fax_number": "951-848-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALERTIVE HEALTHCARE MEDICAL GROUP APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "GOUNDER",
        "authorized_official_first_name": "SIVARAMAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-762-2485",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTELLICARE MEDICAL",
            "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 Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.