RIVERSIDE MEDICAL CLINIC, INC
NPI 1013561810
Family Medicine in Corona, CA

NPI Status: Active since July 30, 2019

Contact Information

21634 RETREAT PKWY
CORONA, CA
ZIP 92883
Phone: (951) 683-6370

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  • Organization
  • Family Medicine
  • CLIA Number: 05D2311881
  • CLIA Cert. Type: Other - CLINICAL RESEARCH
  • CLIA Exp. Date: 09-30-2026

About RIVERSIDE MEDICAL CLINIC, INC

This page provides the complete NPI Profile along with additional information for Riverside Medical Clinic, Inc, a primary care provider established in Corona, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1013561810 assigned on July 2019. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Riverside Medical Clinic, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Dr. Anupam Gupta Md (Medical Director)

NPI
1013561810
Provider Legal Name
RIVERSIDE MEDICAL CLINIC, INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
21634 RETREAT PKWY CORONA, CA 92883
Location Phone
(951) 683-6370
Mailing Address
3660 ARLINGTON AVE RIVERSIDE, CA 92506
Mailing Phone
(951) 683-6370
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2019
Last Update Date
06-10-2025
Code Navigator

A primary care provider (PCP) like Riverside Medical Clinic, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 21634 Retreat Pkwy
    Corona, CA 92883
    (951) 782-5157

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
4207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
5207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

 
6207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

 
7207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
8207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 
9207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
10207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
11208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
122084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
13208800000XAllopathic & Osteopathic Physicians

Urology

 
14213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ANUPAM GUPTA MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(951) 683-6370

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2311881
Facility Type
Other - CLINICAL RESEARCH
Certificate Effective Date
October 01, 2024
Certificate Expiration Date
September 30, 2026
Laboratory Director
ELLY R. LEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Riverside Medical Clinic, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013561810, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 5 → 10 → 1 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 0 + 6 + 2 + 8 + 2 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1013561810.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
21634 RETREAT PKWY
CORONA, CA 92883
Internal Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Surgery
21634 RETREAT PKWY
CORONA, CA 92883
Family Medicine (Sports Medicine)
21634 RETREAT PKWY
CORONA, CA 92883
Obstetrics & Gynecology
21634 RETREAT PKWY
TEMESCAL VALLEY, CA 92883
Internal Medicine (Cardiovascular Disease)
21634 RETREAT PKWY
TEMESCAL VALLEY, CA 92883
Anesthesiology
21634 RETREAT PKWY
CORONA, CA 92883
Clinic/Center (Ambulatory Surgical)
21634 RETREAT PKWY
CORONA, CA 92883
Internal Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Obstetrics & Gynecology
21634 RETREAT PKWY
CORONA, CA 92883
Internal Medicine (Endocrinology, Diabetes & Metabolism)
21634 RETREAT PKWY
CORONA, CA 92883
Anesthesiology (Pain Medicine)
21634 RETREAT PKWY
TEMESCAL VALLEY, CA 92883
Psychiatry & Neurology (Neurology)
21634 RETREAT PKWY
CORONA, CA 92883
Pediatrics
21634 RETREAT PKWY
CORONA, CA 92883
Orthopaedic Surgery
21634 RETREAT PKWY
TEMESCAL VALLEY, CA 92883
Psychiatry & Neurology (Neurology)
21634 RETREAT PKWY
CORONA, CA 92883
Dermatology
21634 RETREAT PKWY
CORONA, CA 92883
Podiatrist
21634 RETREAT PKWY
CORONA, CA 92883
Family Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Family Medicine
21634 RETREAT PKWY
CORONA, CA 92883

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013561810, enumerated as an "organization" on July 30, 2019.

The provider is located at 21634 RETREAT PKWY CORONA, CA 92883 and the phone number is (951) 683-6370.

Family Medicine with taxonomy code 207Q00000X.