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MAGNOLIA WOMEN'S CENTER
NPI 1912905191
Obstetrics & Gynecology in Riverside, CA

Active since July 12, 2005CLIA 05D2121510 · Waiver
3975 JACKSON ST, STE 110, RIVERSIDE, CA 92503(951) 351-1071(951) 351-1207 Get Directions Write a Review

NPPES record last updated: July 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnolia Women's Center NPPES

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

MAGNOLIA WOMEN'S CENTER (NPI 1912905191) is a healthcare organization registered as an obstetrics & gynecology in Riverside, California and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through November 6, 2026 and lists Ok Suk Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1912905191
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMAGNOLIA WOMEN'S CENTER
Location Address3975 JACKSON ST, STE 110Riverside, CA 92503-3901
Mailing Address3975 Jackson St, Ste 110Riverside, CA 92503-3901 · (951) 351-1071 · Fax (951) 351-1207
Phone(951) 351-1071
Fax(951) 351-1207
Organization SubpartNo
Authorized OfficialOk Suk KimOwner · (951) 351-1071
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 30, 2010
✔ NPI 1912905191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3975 JACKSON ST, Riverside, CA 92503
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Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ29904ZCA
Medicare UPINA28330CA

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2121510

Magnolia Women Medical Center · Riverside, CA
Active · expires Nov 6, 2026
CLIA Number05D2121510
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorHesham El Mokadem
Laboratory Phone(951) 351-1071
Laboratory LocationMagnolia Women Medical Center3975 Jackson St Ste 110, Riverside, CA 92503
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

INLAND EAR, HEAD & NECK CLINIC
Otolaryngology
3975 JACKSON ST, STE. 202
RIVERSIDE, CA 92503
Riverside County (951) 352-7920
DR. NAYEEMA AHMED M.D.
Obstetrics & Gynecology (Obstetrics)
3975 JACKSON ST, STE. #110
RIVERSIDE, CA 92503
Riverside County (951) 351-1071
SUDHA MOOLA MD
Obstetrics & Gynecology
3975 JACKSON ST, SUITE #208
RIVERSIDE, CA 92503
Riverside County (951) 732-7834
DR. FREDDIE DIAL M.D., FACE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3975 JACKSON ST, STE. 200
RIVERSIDE, CA 92503
Riverside County (951) 353-2769
JOHN L COON MD INC
Specialist
3975 JACKSON ST, SUITE 201
RIVERSIDE, CA 92503
Riverside County (951) 687-9400
HEALING TREE WELLNESS CENTER INC
Acupuncturist
3975 JACKSON ST, SUITE 2069
RIVERSIDE, CA 92503
Riverside County (949) 351-2377
MRS. MANJU KAUR CPNP
Nurse Practitioner (Pediatrics)
3975 JACKSON ST
RIVERSIDE, CA 92503
Riverside County (951) 352-2092
DR. PETER Y CHANG MD
Student in an Organized Health Care Education/Training Program
3975 JACKSON ST, SUITE 102
RIVERSIDE, CA 92503
Riverside County (951) 359-0660

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 Magnolia Women's Center's NPI number?

The NPI number for Magnolia Women's Center is 1912905191. It was assigned to this organization in the NPPES registry on July 12, 2005.

Where is Magnolia Women's Center located?

Magnolia Women's Center is located at 3975 Jackson St Ste 110, Riverside, CA 92503. The listed phone number is (951) 351-1071.

What is Magnolia Women's Center's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Magnolia Women's Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2121510) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Women's Center was last updated on July 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.