MEDICARE: SAMRIDDHI AGARWAL

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1306778998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMRIDDHI AGARWAL

Provider Business Mailing Address
First Line	:	8432 MAGNOLIA AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92504-3206
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9890 COUNTY FARM RD
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-3678
Country	:	US
Telephone Number	:	951-509-8320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2026
Last Update Date	:	05/30/2026

Similar Medicare Providers

1750581211 — ELVIA OLIVARRIA
Practice Location Address:

9890 COUNTY FARM RD STE 3
RIVERSIDE, CA
92503-3678

Practice Phone: 951-509-8320
Practice Fax:

1861323057 — SERGIO RODRIGUEZ JR.
Practice Location Address:

9890 COUNTY FARM RD STE 3
RIVERSIDE, CA
92503-3678

Practice Phone: 951-509-8320
Practice Fax:

1699709865 — MRS. GEORGEA MADEIRA M.A., MFT
Practice Location Address:

9890 COUNTY FARM RD STE 2
RIVERSIDE, CA
92503-3678

Practice Phone: 951-509-2499
Practice Fax:

1447352802 — MR. LARRY JAMES JACOBSEN, JR. MA, LMFT
Practice Location Address:

9890 COUNTY FARM RD STE 2
RIVERSIDE, CA
92503-3678

Practice Phone: 951-509-2499
Practice Fax:

1588756829 — MR. GUSTAVO FIERRO MSW, CATVIV
Practice Location Address:

9890 COUNTY FARM RD BLDG C
RIVERSIDE, CA
92503-3678

Practice Phone: 951-509-8320
Practice Fax:

1154492072 — THOMAS BOWLUS MD
Practice Location Address:

9890 COUNTY FARM RD STE 1
RIVERSIDE, CA
92503-3678

Practice Phone: 951-358-6512
Practice Fax:

Directions to “ SAMRIDDHI AGARWAL ” 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.