Organization Active NPI

The Redeemer Group SPC the Redeemer

  • Medical Physician Assistant
  • Riverside, CA
National Provider Identifier
1942173406
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
THE REDEEMER GROUP SPC THE REDEEMER
Practice address
2979 Mumford CT
Riverside, CA 92503-8807
Phone
(951) 433-3863
Fax
(951) 475-6488
NPI assigned
Sep 29, 2025
Last updated
Oct 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Charity Ezeamama, P.A.NPI 1851046411
Title
Ceo
Phone
(909) 268-4181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

2979 Mumford CT
Riverside, CA 92503-8807

Mailing address

2979 Mumford CT
Riverside, CA 92503-8807

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1942173406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 MUMFORD CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925038807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 MUMFORD CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925038807",
            "telephone_number": "951-433-3863",
            "fax_number": "951-475-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REDEEMER GROUP SPC THE REDEEMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "EZEAMAMA",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-268-4181",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.