PROMESA PRIMARY CARE, LLC
NPI 1346604022
Home Health in Riverside, CA

Active since April 08, 2016
3978 BROCKTON AVE, RIVERSIDE, CA 92501(951) 213-6505(951) 213-6549 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Promesa Primary Care, Llc NPPES

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

PROMESA PRIMARY CARE, LLC (NPI 1346604022) is a healthcare organization registered as a home health in Riverside, California and active in the NPI registry since April 2016. The organization lists Omar Gomez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1346604022
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePROMESA PRIMARY CARE, LLC
Location Address3978 BROCKTON AVERiverside, CA 92501-3203
Mailing Address3978 Brockton AveRiverside, CA 92501-3203 · (951) 213-6505 · Fax (951) 213-6549
Fax(951) 213-6549
Organization SubpartNo
Authorized OfficialOmar GomezAdministrator · (951) 213-6505
Enumeration DateApril 8, 2016
NPI 1346604022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3978 BROCKTON AVE, Riverside, CA 92501

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 Promesa Primary Care, LLC's NPI number?

The NPI number for Promesa Primary Care, LLC is 1346604022. It was assigned to this organization in the NPPES registry on April 8, 2016.

Where is Promesa Primary Care, LLC located?

Promesa Primary Care, LLC is located at 3978 Brockton Ave, Riverside, CA 92501. The listed phone number is (951) 213-6505.

What is Promesa Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Promesa Primary Care, LLC was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.