RIVERSIDE LIFE SERVICES
NPI 1114288586
Clinic/Center - Community Health in Riverside, CA
NPI Status: Active since June 01, 2012
Contact Information
3727 MCCRAY ST
RIVERSIDE, CA
ZIP 92506
Phone: (951) 784-2422
Fax: (951) 276-2907
- Organization
- Clinic/Center
- Community Health
- CLIA Number: 05D2028096
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 08-10-2027
About RIVERSIDE LIFE SERVICES
This page provides the complete NPI Profile along with additional information for Riverside Life Services, a primary care provider established in Riverside, California operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1114288586 assigned on June 2012. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Riverside Life Services. The authorized official of this NPI record is Dr. Thomas Minahan Do (Medical Director)
- NPI
- 1114288586
- Provider Legal Name
- RIVERSIDE LIFE SERVICES, INC
- Other Organization Name
- RIVERSIDE LIFE SERVICES
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3727 MCCRAY ST RIVERSIDE, CA 92506
- Location Phone
- (951) 784-2422
- Location Fax
- (951) 276-2907
- Mailing Address
- 3727 MCCRAY ST RIVERSIDE, CA 92506
- Mailing Phone
- (951) 784-2422
- Mailing Fax
- (951) 276-2907
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2012
- Last Update Date
- 06-01-2012
- Code Navigator
A primary care provider (PCP) like Riverside Life Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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 Community Health
- Taxonomy Code
- 261QC1500X
- Type
- Ambulatory Health Care Facilities
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
- 05D2028096
- Facility Type
- Community Clinic
- Certificate Effective Date
- August 11, 2025
- Certificate Expiration Date
- August 10, 2027
- Laboratory Director
- THOMAS F. MINAHAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Riverside Life Services in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1114288586, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114288586, enumerated as an "organization" on June 01, 2012.
The provider is located at 3727 MCCRAY ST RIVERSIDE, CA 92506 and the phone number is (951) 784-2422.
Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.
