Riverside Primary Care Doctors-Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

RIVERSIDE PRIMARY CARE DOCTORS-INC

Practice address

9041 Magnolia Ave Ste 6
Riverside, CA 92503-3941

Phone

(951) 224-6000

Fax

(951) 228-0206

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Fady Fayad, MDNPI 1205862612

Title

Ceo/Owner

Phone

(951) 224-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Fady Fayad Fayad, M.D.

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1205862612
  Medicare reassignment Authorized official
• Andrea Anderson, MD

  • Surgery Physician
  • Corona, CA
  • NPI 1649498015
  NPD (past)

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1831812072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE STE 6",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033941",
            "telephone_number": "951-224-6000",
            "fax_number": "951-228-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE STE 6",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033941",
            "telephone_number": "951-224-6000",
            "fax_number": "951-228-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PRIMARY CARE DOCTORS-INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "FAYAD",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "951-224-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA",
            "identifier": "C172881",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverside Operations, LP (Westmont Village)
• Riverside Pharmacy & Compounding
• Riverside Plastic Surgery Associates Inc.
• Riverside Postacute Care LLC
• Riverside Primary Care Clinic
• Riverside Psychiatric Medical Group
• Riverside Radiation Oncology Medical Group
• Riverside Radiology Medical Group Inc
• Riverside Radiology Medical Group Inc
• Riverside Radiology Medical Group Inc

• Adult Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.