SOUTHERN CALIFORNIA EMERGENCY MEDICINE
NPI 1063191575
Clinic/Center - Urgent Care in Riverside, CA
About Southern California Emergency Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN CALIFORNIA EMERGENCY MEDICINE (NPI 1063191575), doing business as Riverside Urgent Care La Sierra, is a healthcare organization registered as an urgent care in Riverside, California and active in the NPI registry since July 2023. The organization lists Jennifer Brunk, Contracting Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern California Emergency Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Southern California Emergency Medicine, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Southern California Emergency Medicine's NPI number?
The NPI number for Southern California Emergency Medicine is 1063191575. It was assigned to this organization in the NPPES registry on July 12, 2023. The provider is doing business as Riverside Urgent Care La Sierra.
Where is Southern California Emergency Medicine located?
Southern California Emergency Medicine is located at 3480 La Sierra Ave, Riverside, CA 92503. The listed phone number is (951) 429-6002.
What is Southern California Emergency Medicine's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Southern California Emergency Medicine enrolled in Medicare?
Yes. Southern California Emergency Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern California Emergency Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern California Emergency Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (21), Emergency Medicine (3) and Family Practice (3). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern California Emergency Medicine was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southern California Emergency Medicine · NPI 1063191575
Urgent Care organization in Riverside, California. Organization record, active in the CMS NPPES registry since July 12, 2023.
## Identity
- **NPI:** 1063191575 (Entity type: Organization)
- **Enumerated:** July 12, 2023
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Also known as:** Riverside Urgent Care La Sierra (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jennifer Brunk, CONTRACTING MANAGER
## Practice location
- **Address:** 3480 LA SIERRA AVE, Riverside, CA 92503-5204
- **Phone:** (951) 429-6002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Emergency Medicine (3), Family Practice (3); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1063191575/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1063191575) · Data from the CMS NPPES public registry.