Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVERSIDE HEALTH PICO RIVERA
NPI 1023882909
Clinic/Center in Pico Rivera, CA

Q: 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.

Q: What is Everside Health Pico Rivera's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 17, 2026, Nov 10, 2023 (2 updates tracked since 2023).

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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 clinic/center 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 Taxonomy261Q00000X

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

Phone(704) 661-1380

Organization SubpartNo

Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546

Enumeration DateNovember 10, 2023

Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1023882909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

9330 WASHINGTON BLVD, Pico Rivera, CA 90660

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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 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.

DAVID D. DING MD

Internal Medicine