RIVERSIDE RECOVERY RESOURCES
NPI 1003138512
Clinic/Center - Rehabilitation, Substance Use Disorder in Wildomar, CA

Q: What is Riverside Recovery Resources's NPI number?

The NPI number for Riverside Recovery Resources is 1003138512. It was assigned to this organization in the NPPES registry on February 25, 2010.

Q: What is Riverside Recovery Resources's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since February 25, 2010CLIA 05D2140845 · Waiver

21800 CAYNON DRIVE, WILDOMAR, CA 92595(951) 674-5354(951) 674-5227 Get Directions Write a Review

NPPES record last updated: February 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Riverside Recovery Resources NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE RECOVERY RESOURCES (NPI 1003138512) is a healthcare organization registered as a rehabilitation, substance use disorder in Wildomar, California and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Derrick Bruce Harvey, Executive Directore, as its authorized official.

NPPES Registry Identity

NPI1003138512

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameRIVERSIDE RECOVERY RESOURCES

Location Address21800 CAYNON DRIVEWildomar, CA 92595-9181

Mailing AddressPo Box 549Lake Elsinore, CA 92531-0549 · (951) 674-5354 · Fax (951) 674-5227

Phone(951) 674-5354

Fax(951) 674-5227

Organization SubpartNo

Authorized OfficialDerrick Bruce HarveyExecutive Directore · (951) 674-5354

Enumeration DateFebruary 25, 2010

✔ NPI 1003138512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

21800 CAYNON DRIVE, Wildomar, CA 92595

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2140845

Riverside Recovery Resources · Lake Elsinore, CA

Active · expires Nov 30, 2027

CLIA Number05D2140845

Laboratory TypeSud Outpatient Facility

Certificate Effective DateDecember 1, 2025

Certificate Expiration DateNovember 30, 2027

Laboratory DirectorMichael S. Valdez, MD

Laboratory Phone(951) 674-5354

Laboratory LocationRiverside Recovery Resources600 Third St Ste C, Lake Elsinore, CA 92531

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Recovery Resources's NPI number?

The NPI number for Riverside Recovery Resources is 1003138512. It was assigned to this organization in the NPPES registry on February 25, 2010.

Where is Riverside Recovery Resources located?

Riverside Recovery Resources is located at 21800 Caynon Drive, Wildomar, CA 92595. The listed phone number is (951) 674-5354.

What is Riverside Recovery Resources's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Riverside Recovery Resources hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2140845) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Recovery Resources was last updated on February 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.