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

First Impact Medical Group, Inc

Organization Psychologist · NPI 1518224740

First Impact Medical Group, Inc is a Psychologist in Riverside, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6700 Indiana Ave Ste 145
Riverside, CA 92506-4290
Phone: (888) 951-9511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A72007 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY9462 (CA)
Chiropractor Taxonomy 111N00000X · Licence 21702 (CA)
Acupuncturist Taxonomy 171100000X · Licence 13813 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A79570 (CA)
Podiatrist Taxonomy 213E00000X · Licence 4540 (CA)

Record details

NPI number1518224740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nick Mashour — Medical Director · (888) 951-9511
NPI enumeratedApril 12, 2012
Last updated in NPPESApril 12, 2012
Mailing addressPo Box 28807, Santa Ana, CA 92799-8807

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