Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

County of Riverside-Community Health Agency

Organization Nurse Practitioner · NPI 1912988767

County of Riverside-Community Health Agency is a Nurse Practitioner in Corona, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
2

Practice location Address checks out

505 S Buena Vista Ave
Corona, CA 92882-1901
Phone: (951) 272-5445
Fax: (951) 272-5489
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN299572 (CA)

Record details

NPI number1912988767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Tweedell — Deputy Director · (951) 358-5222
NPI enumeratedNovember 9, 2005
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 7849, Riverside, CA 92513-7849

Other providers in Corona