Jeren Joseph Riley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95012588 Issued in CA

Practice address

10327 Hole Ave
Riverside, CA 92505-1747

Phone

(951) 351-1600

Fax

(951) 351-9402

NPI assigned

Oct 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeren Joseph Marquecho Riley Former name

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dalia Dawoud MD IncGroup PAC ID 7012370265, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFGCCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dalia Dawoud MD Inc

  • Urgent Care Clinic/Center
  • Chino Hills, CA
  • NPI 1437867900
  Medicare reassignment Care Compare group NPD
• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1598703647
  Medicare reassignment NPD
• Riverside-San Bernardino County Indian Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Grand Terrace, CA
  • NPI 1174676670

  TX

  Medicare reassignment NPD
• San Diego American Indian Health Center

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
  • NPI 1003902917

  Family

  Medicare reassignment NPD
• Dalia Dawoud MD Inc

  • Urgent Care Clinic/Center
  • Rancho Santa Margarita, CA
  • NPI 1639990492
  NPD
• Dalia Dawoud MD Inc

  • Urgent Care Clinic/Center
  • Corona, CA
  • NPI 1669228193
  NPD
• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Beaumont, CA
  • NPI 1629601653
  NPD
• Riverside-San Bernardino County Indian Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Barstow, CA
  • NPI 1134621923
  NPD
• Riverside-San Bernardino County Indian Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Mountain Center, CA
  • NPI 1366028086
  NPD

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1932742376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10327 HOLE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051747",
            "telephone_number": "951-351-1600",
            "fax_number": "951-351-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10327 HOLE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051747",
            "telephone_number": "951-351-1600",
            "fax_number": "951-351-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JEREN",
        "middle_name": "JOSEPH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95012588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREN",
            "last_name": "MARQUECHO RILEY",
            "middle_name": "JOSEPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lequyen Riggio, MFT
• Sabrina Noelle Riggs
• Right Choice Home Healthcare Inc
• Right Choice Hospice Care
• Amanda Riley
• Kathy Ann Riley, MFT-I
• Ta'Neisha Monique-Grady Riley, LVN
• Blanca Rincon Naranjo
• Xitlali Rincon Paez
• Hayley Rincon

• Family Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.