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LAKE ELSINORE CLINICA MEDICA FAMILIAR
NPI 1033418785
Family Medicine in Lake Elsinore, CA

Active since March 21, 2011CLIA 05D2029395 · Waiver
141 N MAIN ST, LAKE ELSINORE, CA 92530(855) 505-7467(888) 975-8926 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Nov 11, 2021, Aug 21, 2017 (3 updates tracked since 2017).

About Lake Elsinore Clinica Medica Familiar NPPES

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

LAKE ELSINORE CLINICA MEDICA FAMILIAR (NPI 1033418785) is a healthcare organization registered as a family medicine in Lake Elsinore, California and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through September 6, 2027 and lists Javier R Rios, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033418785
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDR. JAVIER RIOS, A MEDICAL CORPORATION
Location Address141 N MAIN STLake Elsinore, CA 92530-4118
Mailing Address495 E Rincon St Ste 215Corona, CA 92879-1378 · (951) 523-0117 · Fax (951) 394-0685
Phone(855) 505-7467
Fax(888) 975-8926
Organization SubpartNo
Authorized OfficialJavier R RiosCeo · (951) 354-3221
Enumeration DateMarch 21, 2011
Last NPPES UpdateJune 6, 20223 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1033418785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A53521
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
141 N MAIN ST, Lake Elsinore, CA 92530
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Other Names 1

Doing Business AsLake Elsinore Clinica Medica Familiar

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D2029395

Lake Elsinore Clinica Medica Familiar · Lake Elsinore, CA
Active · expires Sep 6, 2027
CLIA Number05D2029395
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorJavier R. Rios
Laboratory Phone(951) 354-3221
Laboratory LocationLake Elsinore Clinica Medica Familiar141 N Main St, Lake Elsinore, CA 92530
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ALIDIUSKA ESTOPINAN MARZO
Dentist
141 N MAIN ST
LAKE ELSINORE, CA 92530
Riverside County (951) 245-5003
MAYRA LETICIA PADILLA ARECHIGA NP
Nurse Practitioner
141 N MAIN ST
LAKE ELSINORE, CA 92530
Riverside County (855) 505-7467
OH JAE KWON, DDS, INC
Dentist
141 N MAIN ST
LAKE ELSINORE, CA 92530
Riverside County (951) 245-5003
KELLY J HWANG D.D.S.
Dentist
141 N MAIN ST
LAKE ELSINORE, CA 92530
Riverside County (951) 245-5003

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 Dr. Javier Rios, A Medical Corporation's NPI number?

The NPI number for Dr. Javier Rios, A Medical Corporation is 1033418785. It was assigned to this organization in the NPPES registry on March 21, 2011. The provider is doing business as Lake Elsinore Clinica Medica Familiar.

Where is Dr. Javier Rios, A Medical Corporation located?

Dr. Javier Rios, A Medical Corporation is located at 141 N Main St, Lake Elsinore, CA 92530. The listed phone number is (855) 505-7467.

What is Dr. Javier Rios, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dr. Javier Rios, A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2029395) is associated with this NPI, valid through September 6, 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 Dr. Javier Rios, A Medical Corporation was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.