Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851008718 Individual Practitioner Female Practitioner

Channel Devon Chislom

Driver • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Channel Chislom is a registered healthcare professional specializing in Driver in Riverside, CA. Practice services are available at 4193 FLAT ROCK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4193 Flat Rock Dr

Riverside, CA 925057111

Telephone 7472029158
Associated Practice Facility / Clinic
🏢 Myhealth Ultrasounds Facility NPI 1508244278

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Riverside, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-01
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Stephanie Loew

Radiologic Technologist

NPI 1285019349
Sarah Nelson

Behavior Technician

NPI 1649802539

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2022

Registered at 4193 FLAT ROCK DR, RIVERSIDE, CA 925057111 (Tel: 7472029158)

📍
Updated Business Mailing Address November 01, 2022

Registered at 4193 FLAT ROCK DR, RIVERSIDE, CA 925057111 (Tel: 7472029158)

👤
Provider Name / Credentials Updated November 01, 2022

Recorded as CHANNEL CHISLOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2022

Driver

🟢
Initial NPI Registration & Enumeration November 01, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851008718
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2022
Last Update: November 01, 2022
Sole Proprietor: No

Mailing Address

4193 Flat Rock Dr

Riverside, CA 925057111

Phone: 7472029158

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.