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RAINCROSS MEDICAL GROUP INC
NPI 1194712315
Family Medicine in Riverside, CA

Active since October 03, 2005CLIA Certified · 2 labs
4646 BROCKTON AVE, RIVERSIDE, CA 92506(951) 774-2881(951) 774-2846 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raincross Medical Group Inc NPPES

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

RAINCROSS MEDICAL GROUP INC (NPI 1194712315) is a healthcare organization registered as a family medicine in Riverside, California and active in the NPI registry since October 2005. The organization holds 2 active CLIA laboratory certificates and lists Deborah Ann Novellino, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194712315
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRAINCROSS MEDICAL GROUP INC
Location Address4646 BROCKTON AVERiverside, CA 92506-0102
Mailing Address4646 Brockton AveRiverside, CA 92506-0102 · (951) 774-2881 · Fax (951) 774-2846
Phone(951) 774-2881
Fax(951) 774-2846
Organization SubpartNo
Authorized OfficialDeborah Ann NovellinoExecutive Director · (951) 774-2881
Enumeration DateOctober 3, 2005
Last NPPES UpdateJuly 3, 2013
✔ NPI 1194712315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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 ListedOtolaryngologyTaxonomy 207Y00000X
4646 BROCKTON AVE, Riverside, CA 92506
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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 2

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 05D0674222

Raincross Medical Group Inc · Riverside, CA
Active · expires Mar 1, 2027
CLIA Number05D0674222
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorCarl Knopke MD
Laboratory Phone(951) 774-2881
Laboratory LocationRaincross Medical Group Inc4646 Brockton Ave Ste 202, Riverside, CA 92506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1031171

Raincross Medical Group Inc Carl G Knopke MD · Riverside, CA
Active · expires Sep 26, 2026
CLIA Number05D1031171
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorCarl G. Knopke MD
Laboratory Phone(951) 774-2723
Laboratory LocationRaincross Medical Group Inc Carl G Knopke MD4646 Brockton Ave Ste 302, Riverside, CA 92506
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

NASEEM A ATTAR M D INC
Surgery
4646 BROCKTON AVE, SUITE 302-4
RIVERSIDE, CA 92506
Riverside County (951) 686-4677
CARL GEORGE KNOPKE III MD
Family Medicine
4646 BROCKTON AVE, STE 302
RIVERSIDE, CA 92506
Riverside County (951) 774-2723
KELLY L SALAZAR PA-C
Physician Assistant
4646 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 682-6900
MRS. LESLEY ANN LAIRD PA-C
Physician Assistant (Medical)
4646 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 774-2723
JOHN DAVID BRANCH DO
Family Medicine
4646 BROCKTON AVE, SUITE 202
RIVERSIDE, CA 92506
Riverside County (951) 774-2952
GARY M. FEINBERG ENT, INC.
Otolaryngology (Plastic Surgery within the Head & Neck)
4646 BROCKTON AVE, SUITE 201
RIVERSIDE, CA 92506
Riverside County (951) 788-1447
DR. HAROLD WILLIAM JACKSON DO
Family Medicine
4646 BROCKTON AVE, SUITE 202
RIVERSIDE, CA 92506
Riverside County (951) 774-2942
LINNEA HONDORP NP
Nurse Practitioner (Gerontology)
4646 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 774-2800

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 Raincross Medical Group Inc's NPI number?

The NPI number for Raincross Medical Group Inc is 1194712315. It was assigned to this organization in the NPPES registry on October 3, 2005.

Where is Raincross Medical Group Inc located?

Raincross Medical Group Inc is located at 4646 Brockton Ave, Riverside, CA 92506. The listed phone number is (951) 774-2881.

What is Raincross Medical Group Inc's specialty?

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

Does Raincross Medical Group Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Raincross Medical Group Inc was last updated on July 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.