Riverside Eye, Ear, Nose,Throat Institute

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

250000356 Issued in CA

Legal business name

RIVERSIDE EYE, EAR, NOSE,THROAT INSTITUTE

Practice address

4500 Brockton Ave
L05
Riverside, CA 92501-4090

Phone

(951) 788-2788

NPI assigned

Sep 12, 2006

Last updated

Jan 24, 2013By 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

Dr. John J. Allavie, MDNPI 1740242627

Title

President

Phone

(951) 686-4911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• John J Allavie, M.D.

  • Ophthalmology Physician
  • Riverside, CA
  • NPI 1740242627
  Authorized official Same address or phone
• Ray Rogers Glendrange, M.D.

  • Ophthalmology Physician
  • Riverside, CA
  • NPI 1164484507
  NPD

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1811091374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE",
            "address_2": "L05",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014090",
            "telephone_number": "951-788-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE",
            "address_2": "L05",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014090",
            "telephone_number": "951-788-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE EYE, EAR, NOSE,THROAT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "ALLAVIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-686-4911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "250000356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR51087F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverside Elite Imaging , Inc
• Riverside Emergency Physicians Medical Group
• Riverside Equities LLC (Mission Care Center)
• Riverside Eye Partners a Professional Medical Corporation
• Riverside Eye Specialists Medical Group Inc.
• Riverside Family Acupuncture
• Riverside Family Physicians (Riverside Family Physicians - Orange)
• Riverside Family Physicians (Riverside Family Physicians - Parkview)
• Riverside Family Physicians, a Professional Medical Corporation
• Riverside Foot and Ankle Center Inc

• Ambulatory Surgical Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.