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

Abdul Ansari

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124655170

Abdul Ansari is a Dermatology in Corona, California. Qualified in 2020, 6 years ago. Practices with Riverside Medical Clinic Inc, a 174-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

21634 Retreat Pkwy
Corona, CA 92883-6100
Phone: (951) 782-3818
Fax: (951) 826-8128
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 7160 Brockton Ave, Riverside, CA 92506-2620 — (951) 782-3837

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 20A24148 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124655170
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address3660 Arlington Ave, Riverside, CA 92506-3987

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Riverside Medical Clinic Inc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Corona