MOLINA SOUTH RIVERSIDE
NPI 1265829436
Non-Pharmacy Dispensing Site in Corona, CA

Active since April 24, 2015
107 N MCKINLEY ST, CORONA, CA 92879(951) 358-0141 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Molina South Riverside NPPES

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

MOLINA SOUTH RIVERSIDE (NPI 1265829436) is a healthcare organization registered as a non-pharmacy dispensing site in Corona, California and active in the NPI registry since April 2015. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1265829436
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameJOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA
Location Address107 N MCKINLEY STCorona, CA 92879-6561
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateApril 24, 2015
Last NPPES UpdateMarch 4, 2016
NPI 1265829436 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 · A85376
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.)
107 N MCKINLEY ST, Corona, CA 92879

Other Names 1

Doing Business AsMolina South Riverside

Other Providers at the Same Location NPPES 7

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

Family Medicine
107 N MCKINLEY ST
CORONA, CA 92879
Counselor (Mental Health)
107 N MCKINLEY ST
CORONA, CA 92879
Nurse Practitioner (Family)
107 N MCKINLEY ST
CORONA, CA 92879
Clinic/Center (Federally Qualified Health Center (FQHC))
107 N MCKINLEY ST
CORONA, CA 92879
Family Medicine
107 N MCKINLEY ST
CORONA, CA 92879
Nurse Practitioner
107 N MCKINLEY ST
CORONA, CA 92879
Family Medicine
107 N MCKINLEY ST
CORONA, CA 92879

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 1265829436. It was assigned to this organization in the NPPES registry on April 24, 2015. The provider is doing business as Molina South Riverside.

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

Joseph M Molina MD Professional Corporation Southern California is located at 107 N Mckinley St, Corona, CA 92879. The listed phone number is (951) 358-0141.

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 March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.