NPIMap

Individual provider Active NPI

Tanawan Riangwiwat

  • Cardiovascular Disease Physician
  • Riverside, CA
National Provider Identifier
1497137921
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A178685 Issued in CA
Practice address
6950 Brockton Ave Ste 1
Riverside, CA 92506-3830
Phone
(951) 684-6464
Fax
(951) 684-1312
NPI assigned
Jun 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X A178685 CA Primary

Addresses

Primary practice location

6950 Brockton Ave Ste 1
Riverside, CA 92506-3830

Mailing address

6950 Brockton Ave Ste 1
Riverside, CA 92506-3830
Phone (951) 684-6464

Other practice location 1

374 E Vanderbilt Way Ste 1
San Bernardino, CA 92408-3593
Phone (909) 881-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902002908 CA Practitioner - Cardiovascular Disease (Cardiology) 7618351024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Empire Cardiovascular Consultants IncGroup PAC ID 8628399102, 6 clinicians

Practice addresses (Care Compare)

374 E Vanderbilt Way
San Bernardino, CA 92408-3593
Phone (909) 881-7400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
82.33
Improvement activities
40
Cost
79.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Empire Cardiovascular Consultants, Inc. Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Inland Heart and Vascular Medical Assoc Inc Cardiovascular Disease Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

10601 Church St
Ste 105
Rch Cucamonga, CA 91730
Phone (909) 989-7100

6950 Brockton Ave
Ste 1
Riverside, CA 92506
Phone (909) 883-8938

374 E Vanderbilt Way
Ste 1
San Bernardino, CA 92408
Phone (909) 686-0038

374 E Vanderbilt Way
Sn Bernrdno, CA 92408
Phone (909) 280-5557

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1497137921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 BROCKTON AVE STE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063830",
            "telephone_number": "951-684-6464",
            "fax_number": "951-684-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 BROCKTON AVE STE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063830",
            "telephone_number": "951-684-6464",
            "fax_number": "951-684-1312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 E Vanderbilt Way Ste 1",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083593",
            "country_code": "US",
            "telephone_number": "909-881-7400",
            "fax_number": "909-881-5217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIANGWIWAT",
        "first_name": "TANAWAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A178685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.