Active NPI
Helena Mba MD Inc.
- Primary Care Clinic/Center
- Riverside, CA
National Provider Identifier
1992850150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- HELENA MBA MD INC.
- Practice address
- 6485 Day St
Suite #203
Riverside, CA 92507-0929 - Phone
- (951) 697-5800
- Fax
- (951) 697-5801
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Helena O. Mba, MD
- Title
- Director
- Phone
- (310) 462-0181
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
6485 Day St
Suite #203
Riverside, CA 92507-0929
Mailing address
655 S Flower St
Suite #334
Los Angeles, CA 90017-2805
Phone (310) 462-0181
Other names 1
- Moreno Valley Womens & Family Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1063057 | Moreno Valley Womens & Family Clinic | Certificate of waiver | Feb 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
655 S Flower St
Ste 334
Los Angeles, CA 90017
Phone (310) 462-0181
126 Avocado Ave
Ste 204
Perris, CA 92571
6485 Day St
Ste 203
Riverside, CA 92507
Phone (951) 697-5800
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1992850150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S FLOWER ST",
"address_2": "SUITE #334",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900172805",
"telephone_number": "310-462-0181",
"fax_number": "213-892-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6485 DAY ST",
"address_2": "SUITE #203",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070929",
"telephone_number": "951-697-5800",
"fax_number": "951-697-5801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELENA MBA MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "MBA",
"authorized_official_first_name": "HELENA",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "310-462-0181",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Moreno Valley Womens & Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.