RIVERSIDE RECOVERY RESOURCES
NPI 1073837779
Clinic/Center - Rehabilitation, Substance Use Disorder in Perris, CA

NPI Status: Active since March 24, 2010

Contact Information

515 E 7TH ST
PERRIS, CA
ZIP 92570
Phone: (951) 940-6061
Fax: (951) 674-5227

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 05D2140845
  • CLIA Cert. Type: Other - SUD OUTPATIENT FACILITY
  • CLIA Exp. Date: 11-30-2027

About RIVERSIDE RECOVERY RESOURCES

This page provides the complete NPI Profile along with additional information for Riverside Recovery Resources, a provider established in Perris, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1073837779 assigned on March 2010. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Derrick Bruce Harvey Cas Ii (Executive Director)

NPI
1073837779
Provider Name
RIVERSIDE RECOVERY RESOURCES
Entity Type
Organization
Location Address
515 E 7TH ST PERRIS, CA 92570
Location Phone
(951) 940-6061
Location Fax
(951) 674-5227
Mailing Address
PO BOX 549 LAKE ELSINORE, CA 92531
Mailing Phone
(951) 674-5354
Mailing Fax
(951) 674-5227
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2010
Last Update Date
03-24-2010
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License State
CA

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

DERRICK BRUCE HARVEY CAS II

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(951) 674-5354

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
05D2140845
Facility Type
Other - SUD OUTPATIENT FACILITY
Certificate Effective Date
December 01, 2025
Certificate Expiration Date
November 30, 2027
Laboratory Director
MICHAEL S. VALDEZ, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Riverside Recovery Resources 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 1073837779, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 7 → 14 → 5 8 → 16 → 7 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 6 + 3 + 1 + 4 + 7 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1073837779.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073837779, enumerated as an "organization" on March 24, 2010.

The provider is located at 515 E 7TH ST PERRIS, CA 92570 and the phone number is (951) 940-6061.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.