RIVERSIDE MEDICAL CLINICINC NPI 1972845535

NPI Information

  • NPI: 1972845535
  • Provider Name: RIVERSIDE MEDICAL CLINIC,INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 05D0911851
  • Address: 12710 LIMONITE AVE
    EASTVALE, CA
    ZIP 91760
  • Phone: (951) 683-6370

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NPI Details

RIVERSIDE MEDICAL CLINIC,INC is a family medicine in Eastvale, CA. The provider is 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. RIVERSIDE MEDICAL CLINIC,INC NPI is 1972845535. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12710 LIMONITE AVE
EASTVALE, CA
ZIP 91760-000
Phone: (951) 683-6370
Fax: (951) 248-6708

The provider's authorized official is Judy Carpenter .
The authorized official title is President,ceo and has the following contact phone number (951) 782-3744.

The CLIA number assigned to this NPI record is 05D0911851 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/21/2013 and was last updated on 3/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207V00000XObstetrics & GynecologyNo
3208000000XPediatricsNo
4207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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