Organization Active NPI

Helena Mba MD Inc.

  • Primary Care Clinic/Center
  • Riverside, CA
National Provider Identifier
1992850150
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Jun 25, 2008

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1063057Moreno Valley Womens & Family Clinic6485 Day St Ste 203, Riverside, CA 92507Certificate of waiverFeb 17, 2028

National Provider Directory

National Provider Directory

Locations

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 MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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.

Verify at the official NPI Registry.