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PROVIDENCE AMBULATORY SERVICES INC
NPI 1710694161
Hospitalist in Riverside, CA

Active since November 03, 2022
3975 JACKSON ST STE 105, RIVERSIDE, CA 92503(951) 775-2407 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Providence Ambulatory Services Inc NPPES

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

PROVIDENCE AMBULATORY SERVICES INC (NPI 1710694161) is a healthcare organization registered as a hospitalist in Riverside, California and active in the NPI registry since November 2022. The organization lists Nawal Badran, President, as its authorized official.

NPPES Registry Identity

NPI1710694161
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NamePROVIDENCE AMBULATORY SERVICES INC
Location Address3975 JACKSON ST STE 105Riverside, CA 92503-3945
Mailing Address3975 Jackson St Ste 105Riverside, CA 92503-3945 · (951) 775-2407
Phone(951) 775-2407
Organization SubpartNo
Authorized OfficialNawal BadranPresident · (951) 775-2407
Enumeration DateNovember 3, 2022
NPPES CertifiedNovember 3, 2022
✔ NPI 1710694161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
3975 JACKSON ST STE 105, Riverside, CA 92503
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Ambulatory Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Providence Ambulatory Services Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Calvin Patel, MD
Family Practice
NPI 1518369289
3865 JACKSON ST STE. 106-526
Riverside, CA 92503
(951) 688-2211
✔ PECOS✔ Accepts Medicare0.1 mi
Garvin Patel, M.D.
Internal Medicine
NPI 1992932800
802 MAGNOLIA AVE STE 205
Corona, CA 92879
(951) 281-2730
✔ PECOS✔ Accepts Medicare8.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Providence Ambulatory Services Inc's NPI number?

The NPI number for Providence Ambulatory Services Inc is 1710694161. It was assigned to this organization in the NPPES registry on November 3, 2022.

Where is Providence Ambulatory Services Inc located?

Providence Ambulatory Services Inc is located at 3975 Jackson St Ste 105, Riverside, CA 92503. The listed phone number is (951) 775-2407.

What is Providence Ambulatory Services Inc's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Providence Ambulatory Services Inc enrolled in Medicare?

Yes. Providence Ambulatory Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Ambulatory Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Providence Ambulatory Services Inc, in Family Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Ambulatory Services Inc was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.