Dr. Amy Lee Bodeau
Family Medicine

Address: 10800 Magnolia Ave, Riverside, CA 92505-3043
Phone: 9513533846

Dr. Amy Lee Bodeau (NPI# 1518186774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1518186774
Entity Type Individual
Full Name Dr. Amy Lee Bodeau
Credential M.D., PH.D.
Gender Female
Practice Address 10800 Magnolia Ave
Riverside
CA 92505-3043
Practice Telephone 9513533846
Mailing Address 10800 Magnolia Ave
Riverside
CA 92505-3043
Mailing Telephone 9513535000
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-04-25
Last Update Date 2007-07-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians CA

Physician Overview

NPI 1518186774
PAC ID by PECOS 8426191750
Professional Enrollment ID I20100208000719
Full Name Amy L Bodeau
Organization Legal Name SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Phone Number 9513532000
Gender F
Medical School ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year 2003
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 6002729175
Number of Group Practice Members 7666
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700309689 Lumina Family Care, Inc. Family Medicine 6780 Indiana Ave Ste 110, Riverside, CA 92506-4284 2017-07-21
1992189286 Inpatient Consultants of California, Inc Family Medicine 7177 Brockton Ave Ste 217, Riverside, CA 92506-2633 2015-07-16
1376920116 Koohzad Karimi Family Medicine 445 Magnolia Avenue, Riverside, CA 92501 2015-04-30
1528474103 Ivy Cao Family Medicine 1971 University Ave, Family Medicine Department, Riverside, CA 92507 2014-07-03
1417372533 John Mcdevitt Family Medicine 3550 Lillian St, Riverside, CA 92504-3609 2014-02-26
1972861797 Central Occupational Medicine Providers Ontario Inc Family Medicine 4300 Central Ave, Riverside, CA 92506-2918 2012-04-30
1619241767 Inpatient Consultants of California, Inc Family Medicine 3610 Central Ave Ste 205, Riverside, CA 92506-5905 2012-03-06
1437438033 George Samir Nagib Family Medicine 7140 Indiana Ave., Riverside, CA 92504-3927 2011-08-12
1134415979 Iryna Serembytsky Family Medicine 366 E Burlington St, Riverside, IL 60546-2152 2011-06-20
1790084861 Yi Pin Cheng Family Medicine 1971 University Av., Riverside, CA 92507 2011-03-15
Find all providers in RIVERSIDE

Office Location

Street Address 10800 MAGNOLIA AVE
City RIVERSIDE
State CA
Zip Code 92505-3043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457352783 Patrick Joseph S Alix Internal Medicine 10800 Magnolia Ave, Riverside, CA 92505-3043 2005-08-09
1669095329 Alvin Fong Pharmacist 10800 Magnolia Ave, Riverside, CA 92505-3043 2020-05-28
1114555810 Michelle Eunbi Ko Student in an Organized Health Care Education/Training Program 10800 Magnolia Ave, Riverside, CA 92505-3043 2020-03-29
1821625062 Christopher Mark Bradburne Student in an Organized Health Care Education/Training Program 10800 Magnolia Ave, Riverside, CA 92505-3043 2020-03-26
1740817659 Lauren Khan Student in an Organized Health Care Education/Training Program 10800 Magnolia Ave, Riverside, CA 92505-3043 2020-03-23
1841826781 Jessica Sherly Gurning Student in an Organized Health Care Education/Training Program 10800 Magnolia Ave, Riverside, CA 92505-3043 2020-03-22
1912533852 Robert Yousif Student in an Organized Health Care Education/Training Program 10800 Magnolia Ave, Riverside, CA 92505-3043 2020-03-22
1770119323 Erika Layne Dietitian, Registered 10800 Magnolia Ave, Riverside, CA 92505-3043 2020-03-16
1578115648 Janet Torres Social Worker 10800 Magnolia Ave, Riverside, CA 92505-3043 2019-07-09
1689230765 Nolan Nardoni Student in an Organized Health Care Education/Training Program 10800 Magnolia Ave, Riverside, CA 92505-3043 2019-05-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205458460 Mark Anthony Vargas Behavior Analyst 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 2020-05-11
1568099976 Victoria Lee Student in an Organized Health Care Education/Training Program Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 2020-03-25
1588222087 A Homecare Services, Inc In Home Supportive Care 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 2019-05-31
1609302397 Tap Pharmacy, Inc. Pharmacy 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 2017-05-02
1467998658 Onofre Gascon Behavior Technician 11711 Collett Ave, #1614, Riverside, CA 92505 2017-01-11
1780038505 Nash David Martinez Emergency Medicine 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 2016-04-18
1447639901 Jose Joel Manalese Dds Inc Dentist 3950 Pierce St., Suite L., Riverside, CA 92505 2015-05-29
1821493230 Jean Huynh Physician Assistant 11725 State Ave., Suite 100, Riverside, CA 92505 2014-10-28
1003160649 Elaf Farahat Dietitian, Registered 10800 Magnolia Avenue., Riverside, CA 92505 2012-11-05
1730458217 Tammy Lynn Gilmore Non-emergency Medical Transport (VAN) 10770 Hole Avenue, 106, Riverside, CA 92505 2011-12-29
Find all providers in zip 92505

Competitor

Search similar providers

City RIVERSIDE
Zip Code 92505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.