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

Providence Ambulatory Services Inc

Organization Hospitalist Physician · NPI 1710694161

Providence Ambulatory Services Inc is a Hospitalist Physician in Riverside, California. Registered with an NPI since 2022.

In the registry since
2022
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

3975 Jackson St Ste 105
Riverside, CA 92503-3945
Phone: (951) 775-2407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X

Record details

NPI number1710694161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nawal Badran — President · (951) 775-2407
NPI enumeratedNovember 3, 2022
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022
Mailing address3975 Jackson St Ste 105, Riverside, CA 92503-3945

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