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RIVERSIDE FAMILY PHYSICIANS - ORANGE
NPI 1255649653
Non-Pharmacy Dispensing Site in Riverside, CA

Active since September 20, 2010CLIA 05D1032721 · Waiver
4310 ORANGE ST, RIVERSIDE, CA 92501(951) 781-6335 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside Family Physicians - Orange NPPES

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

RIVERSIDE FAMILY PHYSICIANS - ORANGE (NPI 1255649653) is a healthcare organization registered as a non-pharmacy dispensing site in Riverside, California and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Kenny Heine, Sr. Director Operations, as its authorized official.

NPPES Registry Identity

NPI1255649653
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameRIVERSIDE FAMILY PHYSICIANS
Location Address4310 ORANGE STRiverside, CA 92501-3829
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(951) 781-6335
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineSr. Director Operations · (858) 625-2990
Enumeration DateSeptember 20, 2010
Last NPPES UpdateOctober 23, 2012
✔ NPI 1255649653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · A53772
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
4310 ORANGE ST, Riverside, CA 92501
Open in Google Maps ↗

Other Names 1

Doing Business AsRiverside Family Physicians - Orange

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 05D1032721

Riverside Family Physicians A Prof Med Corp · Riverside, CA
Active · expires Oct 5, 2027
CLIA Number05D1032721
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorTarek Z. Mahdi MD
Laboratory Phone(951) 781-6335
Laboratory LocationRiverside Family Physicians A Prof Med Corp4244 Riverwalk Parkway Ste 150, Riverside, CA 92505
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

CIELITO BLANCO CAPISTRANO NURSE PRACTITIONER
Nurse Practitioner (Family)
4310 ORANGE ST
RIVERSIDE, CA 92501
Riverside County (951) 781-6335
MRS. ALLISON CLAASSEN MS, PA-C
Physician Assistant
4310 ORANGE ST
RIVERSIDE, CA 92501
Riverside County (951) 781-6335
PALLIATIVE PARTNERS, INC
General Practice
4310 ORANGE ST
RIVERSIDE, CA 92501
Riverside County (951) 781-6335
MRS. MEGG U SOFESO FNP
Nurse Practitioner (Family)
4310 ORANGE ST
RIVERSIDE, CA 92501
Riverside County (951) 781-6335
AYLIN C BELTRAN
Community Health Worker
4310 ORANGE ST
RIVERSIDE, CA 92501
Riverside County (951) 335-4660
MRS. CLARISA YOS FNP
Nurse Practitioner
4310 ORANGE ST
RIVERSIDE, CA 92501
Riverside County (951) 781-6335
MS. ROSAURA MORENO MSW
Social Worker
4310 ORANGE ST
RIVERSIDE, CA 92501
Riverside County (951) 781-6335
DR. GEORGE T. RICKS M.D
Family Medicine
4310 ORANGE ST
RIVERSIDE, CA 92501
Riverside County (951) 781-6335

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 Riverside Family Physicians's NPI number?

The NPI number for Riverside Family Physicians is 1255649653. It was assigned to this organization in the NPPES registry on September 20, 2010. The provider is doing business as Riverside Family Physicians - Orange.

Where is Riverside Family Physicians located?

Riverside Family Physicians is located at 4310 Orange St, Riverside, CA 92501. The listed phone number is (951) 781-6335.

What is Riverside Family Physicians's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Riverside Family Physicians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1032721) is associated with this NPI, valid through October 5, 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 Riverside Family Physicians was last updated on October 23, 2012. 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.