MEDICARE: RIVERSIDE UNIFIED SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1000X	Student Health Clinic/Center	33-67215	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134345952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERSIDE UNIFIED SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	5700 ARLINGTON AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92504-2035
Country	:	US
Telephone Number	:	951-274-4213
Fax Number	:	951-274-4203

Provider Business Practice Location Address
First Line	:	5700 ARLINGTON AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92504-2035
Country	:	US
Telephone Number	:	951-274-4213
Fax Number	:	951-274-4203

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. GERALD L SAKS
Credential	:	M.D.
Telephone Number	:	951-274-4213

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	04/24/2008

Similar Medicare Providers

1184830713 — DR. GERALD LEE SAKS M.D.
Practice Location Address:

5700 ARLINGTON AVE
RIVERSIDE, CA
92504-2035

Practice Phone: 951-274-4213
Practice Fax: 951-274-4203

1093120511 — JOANNA JACQUELINE IKENASIO
Practice Location Address:

5700 ARLINGTON AVE
RIVERSIDE, CA
92504-2035

Practice Phone: 951-352-1200
Practice Fax:

1669925939 — RIVERSIDE UNIFIED SCHOOL DISTRICT
Practice Location Address:

5700 ARLINGTON AVE
RIVERSIDE, CA
92504-2035

Practice Phone: 951-274-4213
Practice Fax: 951-274-4203

1093669525 — AMBER FERGUSON
Practice Location Address:

6711 ARLINGTON AVE
RIVERSIDE, CA
92504-1955

Practice Phone: 951-352-4964
Practice Fax:

1306367958 — MARLON MINERA MD
Practice Location Address:

17130 VAN BUREN BLVD # 1007
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92504-5905

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1023865326 — KINDFUL RESTORATION
Practice Location Address:

7344 MAGNOLIA AVE STE 110
RIVERSIDE, CA
92504-3819

Practice Phone: 951-404-0856
Practice Fax: 951-755-8856

Directions to “RIVERSIDE UNIFIED SCHOOL DISTRICT ” Practice Location

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