EVERSIDE HEALTH PICO RIVERA
NPI 1023882909
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Pico Rivera, CA

Active since November 10, 2023CLIA 05D2302439 · Waiver
9330 WASHINGTON BLVD, PICO RIVERA, CA 90660(704) 661-1380 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Everside Health Pico Rivera NPPES

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

EVERSIDE HEALTH PICO RIVERA (NPI 1023882909) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Pico Rivera, California and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1023882909
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH PICO RIVERA
Location Address9330 WASHINGTON BLVDPico Rivera, CA 90660-3838
Mailing Address1400 Wewatta St Ste 350Denver, CO 80202-5553 · (704) 661-1380
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
NPI 1023882909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
9330 WASHINGTON BLVD, Pico Rivera, CA 90660

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D2302439

Everside Health Pico Rivera · Pico Rivera, CA
Active · expires Apr 9, 2028
CLIA Number05D2302439
Laboratory TypeOnsite Employer Hlth Ctr
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorSushma Sadula
Laboratory Phone(562) 512-3404
Laboratory LocationEverside Health Pico Rivera9330 Washington Blvd, Pico Rivera, CA 90660
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
9330 WASHINGTON BLVD
PICO RIVERA, CA 90660
Clinic/Center (Urgent Care)
9330 WASHINGTON BLVD
PICO RIVERA, CA 90660
Nurse Practitioner (Family)
9330 WASHINGTON BLVD
PICO RIVERA, CA 90660
Nurse Practitioner
9330 WASHINGTON BLVD
PICO RIVERA, CA 90660
Internal Medicine
9330 WASHINGTON BLVD
PICO RIVERA, CA 90660
Nurse Practitioner (Family)
9330 WASHINGTON BLVD
PICO RIVERA, CA 90660
Physician Assistant
9330 WASHINGTON BLVD
PICO RIVERA, CA 90660
Nurse Practitioner (Family)
9330 WASHINGTON BLVD
PICO RIVERA, CA 90660

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 Everside Health Pico Rivera's NPI number?

The NPI number for Everside Health Pico Rivera is 1023882909. It was assigned to this organization in the NPPES registry on November 10, 2023.

Where is Everside Health Pico Rivera located?

Everside Health Pico Rivera is located at 9330 Washington Blvd, Pico Rivera, CA 90660. The listed phone number is (704) 661-1380.

What is Everside Health Pico Rivera's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Does Everside Health Pico Rivera hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2302439) is associated with this NPI, valid through April 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Everside Health Pico Rivera was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.