NPIMap

Organization Active NPI

Riverside Gastroenterology Associates Inc.

  • Specialist
  • Riverside, CA
National Provider Identifier
1679954077
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RIVERSIDE GASTROENTEROLOGY ASSOCIATES INC.
Practice address
6958 Brockton Ave
Suite 203
Riverside, CA 92506-3829
Phone
(951) 788-3880
Fax
(951) 788-3886
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Dr. Vinod Mishra, MDNPI 1265580724
Title
Medical Director
Phone
(951) 788-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6958 Brockton Ave
Suite 203
Riverside, CA 92506-3829

Mailing address

6958 Brockton Ave
Suite 301
Riverside, CA 92506-3829
Phone (951) 788-3880

National Provider Directory

National Provider Directory

Locations

6958 Brockton Ave
Ste 301
Riverside, CA 92506

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1679954077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6958 BROCKTON AVE",
            "address_2": "SUITE 301",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063829",
            "telephone_number": "951-788-3880",
            "fax_number": "951-788-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6958 BROCKTON AVE",
            "address_2": "SUITE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063829",
            "telephone_number": "951-788-3880",
            "fax_number": "951-788-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE GASTROENTEROLOGY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-788-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2016; 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.