MEDICARE: ADMIN IMPACT

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1083405732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADMIN IMPACT

Provider Business Mailing Address
First Line	:	4795 BEATTY DR
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-2308
Country	:	US
Telephone Number	:	909-206-3636
Fax Number	:

Provider Business Practice Location Address
First Line	:	4795 BEATTY DR
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-2308
Country	:	US
Telephone Number	:	909-206-3636
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANDREA NICOLE ORDAZ
Credential	:
Telephone Number	:	909-206-3636

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	05/13/2025

Similar Medicare Providers

1740025840 — MR. PETER THOMAS HERNANDEZ II
Practice Location Address:

4755 BEATTY DR
RIVERSIDE, CA
92506-2308

Practice Phone: 951-463-0880
Practice Fax:

1083401814 — ANDREA NICOLE ORDAZ
Practice Location Address:

4795 BEATTY DR
RIVERSIDE, CA
92506-2308

Practice Phone: 909-206-3636
Practice Fax:

1720386303 — RIVERSIDE RADIOLOGY MEDICAL GROUP, INC.
Practice Location Address:

1860 CHICAGO AVE STE G11
RIVERSIDE, CA
92507-2308

Practice Phone: 877-411-9002
Practice Fax: 855-751-0338

1154006310 — MAYETTE BAYLON GONZALES NURSE PRACTITIONER
Practice Location Address:

3988 MERRILL AVE
RIVERSIDE, CA
92506-2214

Practice Phone: 909-304-3344
Practice Fax:

1447182480 — DR. MARIA F PARRA COLMENTER DDS
Practice Location Address:

3617 MERRILL AVE APT 324
RIVERSIDE, CA
92506-2539

Practice Phone: 312-646-9845
Practice Fax:

1477482487 — MR. CHRISTOPHER DAVID WOOLSEY
Practice Location Address:

6860 BROCKTON AVE
RIVERSIDE, CA
92506-3821

Practice Phone: 951-234-9940
Practice Fax:

Directions to “ADMIN IMPACT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.