Individual provider Active NPI

Natalie Janelly Woodruff, PA-C

  • Physician Assistant
  • Riverside, CA
National Provider Identifier
1942028972
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9939 Magnolia Ave
Riverside, CA 92503-3528
Phone
(855) 505-7467
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9939 Magnolia Ave
Riverside, CA 92503-3528

Mailing address

9939 Magnolia Ave
Riverside, CA 92503-3528
Phone (855) 505-7467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250305002110 CA Practitioner - Physician Assistant 9830610914 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alessandro Medical Professional CorporationGroup PAC ID 5698905438, 15 clinicians
Dr. Javier Rios, a Medical CorporationGroup PAC ID 4183892508, 16 clinicians
Javier R Rios MD a Professional CorporationGroup PAC ID 5294785630, 13 clinicians

Practice addresses (Care Compare)

13925 Indian St
Moreno Valley, CA 92553-5718
Phone (855) 505-7467

141 N Main St
Lake Elsinore, CA 92530-4118
Phone (855) 505-7467

1530 W 6TH St
Suite 109
Corona, CA 92882-2784
Phone (855) 505-7467

21091 Rider St
Suite 218
Perris, CA 92570-8837
Phone (855) 505-7467

31946 Mission TRL
Suite a
Lake Elsinore, CA 92530-4539
Phone (855) 505-7467

4022 Chicago Ave
Riverside, CA 92507-5340
Phone (855) 505-7467

9939 Magnolia Ave
Riverside, CA 92503-3528
Phone (855) 505-7467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65221CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Javier R. Rios MD a Professional Corporation CurrentSince Dec 28, 2024 Accepting new patients
Dr. Javier Rios, a Medical Corporation CurrentSince Dec 28, 2024 Accepting new patients
Alessandro Medical Professional Corporation Past Accepting new patients
Dr. Javier Rios, a Medical Corporation Past Accepting new patients
Dr. Javier Rios a Medical Corporation Past Accepting new patients
Dr. Javier Rios, a Medical Corporation Past Accepting new patients

Locations

495 E Rincon St
Ste 215
Corona, CA 92879

82935 Avenue 48
Ste 101
Indio, CA 92201

141 N Main St
Lake Elsinore, CA 92530
Phone (951) 245-5003

49867 29 Palms Hwy
Morongo Valley, CA 92256

21091 Rider St
Ste 218
Perris, CA 92570
Phone (951) 354-2229

9939 Magnolia Ave
Riverside, CA 92503
Phone (951) 687-8802

4022 Chicago Ave
Riverside, CA 92507
Phone (951) 354-2229

27625 Jefferson Ave
Ste 101
Temecula, CA 92590
Phone (951) 506-5768

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1942028972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9939 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033528",
            "telephone_number": "855-505-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033528",
            "telephone_number": "855-505-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "NATALIE",
        "middle_name": "JANELLY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.