Greenriver Medical Group & Palliative Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREENRIVER MEDICAL GROUP & PALLIATIVE CARE

Practice address

3317 Deaver Dr
Corona, CA 92882-8791

Phone

(714) 873-5668

NPI assigned

Jul 31, 2025

Organization subpart

No

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

Authorized official

Name

Ruth Roldan

Title

Ceo

Phone

(714) 873-5668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Ronald Mendoza Baroy, NP

  • Acute Care Nurse Practitioner
  • Orange, CA
  • NPI 1679260814
  Medicare reassignment NPD

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1669356069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 DEAVER DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828791",
            "telephone_number": "714-873-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 DEAVER DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828791",
            "telephone_number": "714-873-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENRIVER MEDICAL GROUP & PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "ROLDAN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-873-5668"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Green
• Tonsinetta D Green, LCSW
• Valencia Green
• Melissa Jane Greene, D.C.
• Greenlight Anesthesia Specialists Inc
• Prabhdeep Singh Grewal, D.D.S
• Alison Griffin, RD
• Azita Griffin
• Kamaile Griggs
• Kimberly Griggs, PSYD. LMFT

• Family Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.