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 provides Psychologist services 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 Not confirmed with CMS for 14 years — call before visiting
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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