Individual ProviderRishi BommannanEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address4510 Brockton Ave Ste 223, Riverside, CA 92501-4020(951) 788-3536PECOS EnrollmentBased on the most recent information from CMS, provider Rishi Bommannan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1851040323Provider TypeIndividualFull NameBommannan, RishiCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/22/2022Last Updated7/3/2025Contact InformationPractice LocationPractice Address4510 Brockton Ave Ste 223, Riverside, CA 92501-4020Phone(951) 788-3536FaxUnlisted FaxMailing LocationMailing Address4510 Brockton Ave Ste 223, Riverside, CA 92501-4020Phone(951) 788-3536FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseA189650California