MOLINA RIALTO
NPI 1124405758
Non-Pharmacy Dispensing Site in Rialto, CA

Active since May 04, 2015
790 E FOOTHILL BLVD, RIALTO, CA 92376(909) 546-7135 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Molina Rialto NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLINA RIALTO (NPI 1124405758) is a healthcare organization registered as a non-pharmacy dispensing site in Rialto, California and active in the NPI registry since May 2015. The organization lists Kenny Heine, Vp Of Operation, as its authorized official.

NPPES Registry Identity

NPI1124405758
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameJOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA
Location Address790 E FOOTHILL BLVDRialto, CA 92376-5269
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operation · (858) 964-1506
Enumeration DateMay 4, 2015
NPI 1124405758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in CA · 95000207
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
790 E FOOTHILL BLVD, Rialto, CA 92376

Other Names 1

Doing Business AsMolina Rialto

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
790 E FOOTHILL BLVD, SUITE D
RIALTO, CA 92376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph M Molina MD Professional Corporation Southern California's NPI number?

The NPI number for Joseph M Molina MD Professional Corporation Southern California is 1124405758. It was assigned to this organization in the NPPES registry on May 4, 2015. The provider is doing business as Molina Rialto.

Where is Joseph M Molina MD Professional Corporation Southern California located?

Joseph M Molina MD Professional Corporation Southern California is located at 790 E Foothill Blvd, Rialto, CA 92376. The listed phone number is (909) 546-7135.

What is Joseph M Molina MD Professional Corporation Southern California's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Joseph M Molina MD Professional Corporation Southern California was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.