IndividualActive
Katerina Phoenix Bereford-Wood
NPI 1801464656 · Specialist · Riverside, CA
Provider details
- NPI number
- 1801464656
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6700 Indiana Ave
Riverside, CA 92506-4290
Phone: (951) 530-8257
Fax: (760) 818-8025
Street-level locationGet directions
Mailing address
6700 Indiana Ave
Riverside, CA 92506-4290
Additional practice locations (1)
- 340 S Farrell Dr Ste A208Palm Springs, CA 92262-7931Phone: (760) 202-4308
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2021-06-16
- Certified
- 2021-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.