Riverwalk Ultrasound Center

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

RIVERWALK ULTRASOUND CENTER

Practice address

4193 Flat Rock Dr
Suite 200-212
Riverside, CA 92505-7111

Phone

(951) 807-0386

NPI assigned

Jul 29, 2015

Last updated

Jul 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Max Villacreses

Title

Director

Phone

(951) 963-6286

Specialties & licenses 1

Addresses

Locations

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.

• Stephanie Loew

  • Radiologic Technologist
  • Riverside, CA
  • NPI 1285019349
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1801271960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4193 FLAT ROCK DR",
            "address_2": "SUITE 200-212",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057111",
            "telephone_number": "951-807-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4193 FLAT ROCK DR",
            "address_2": "SUITE 200-212",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057111",
            "telephone_number": "951-807-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK ULTRASOUND CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "VILLACRESES",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-963-6286"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside University Health System
• Riverside Villa
• Riverwalk Facial and Oral Surgery
• Riverwalk Pharmacy
• Riverwalk Surgery Center, LLC (Precision Surgery Center)
• Miriam M Rizk, PSY.D.
• Antony Georges Rizkallah, DC
• Madeleine Rizo
• RMC Surgery Center LLC (RMC Surgery Center)
• RMC Surgery Center, LLC (RMC Surgery Center)

• Diagnostic Ultrasound Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Diagnostic Ultrasound Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.