LUTHER MANGOBA, MD INC.
NPI 1558387209
Family Medicine in Riverside, CA

Active since July 14, 2006
9041 MAGNOLIA AVE, SUITE 008, RIVERSIDE, CA 92503(951) 687-0004(951) 687-0080 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luther Mangoba, Md Inc. NPPES

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

LUTHER MANGOBA, MD INC. (NPI 1558387209) is a healthcare organization registered as a family medicine in Riverside, California and active in the NPI registry since July 2006. The organization lists Luther Mangoba, President, as its authorized official.

NPPES Registry Identity

NPI1558387209
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLUTHER MANGOBA, MD INC.
Location Address9041 MAGNOLIA AVE, SUITE 008Riverside, CA 92503-3900
Mailing Address9041 Magnolia Ave, Suite 008Riverside, CA 92503-3900 · (951) 687-0004 · Fax (951) 687-0080
Fax(951) 687-0080
Organization SubpartNo
Authorized OfficialLuther MangobaPresident · (951) 687-0004
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 3, 2014
NPI 1558387209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 05D1038270
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9041 MAGNOLIA AVE, Riverside, CA 92503

Other Identifiers 2

Other05D1038270CA · Clia Waiver Certificate
Medicaid00A775740CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Optometrist
9041 MAGNOLIA AVE
RIVERSIDE, CA 92503
Specialist
9041 MAGNOLIA AVE, SUITE 107
RIVERSIDE, CA 92503
Clinic/Center (Urgent Care)
9041 MAGNOLIA AVE, SUITE 107
RIVERSIDE, CA 92503
Internal Medicine
9041 MAGNOLIA AVE, SUITE 302
RIVERSIDE, CA 92503
General Practice
9041 MAGNOLIA AVE, SUITE 107
RIVERSIDE, CA 92503
Family Medicine
9041 MAGNOLIA AVE, SUITE 105B
RIVERSIDE, CA 92503
Ophthalmology
9041 MAGNOLIA AVE, SUITE 207
RIVERSIDE, CA 92503
Specialist
9041 MAGNOLIA AVE, 206
RIVERSIDE, CA 92503

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 Luther Mangoba, MD Inc.'s NPI number?

The NPI number for Luther Mangoba, MD Inc. is 1558387209. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Luther Mangoba, MD Inc. located?

Luther Mangoba, MD Inc. is located at 9041 Magnolia Ave Suite 008, Riverside, CA 92503. The listed phone number is (951) 687-0004.

What is Luther Mangoba, MD Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Luther Mangoba, MD Inc. was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.