RIVERSIDE ADDICTION SPECIALISTS, INC.
NPI 1356059877
Preventive Medicine - Addiction Medicine in Riverside, CA

Q: What is Riverside Addiction Specialists, Inc.'s specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Active since November 14, 2022

4605 BROCKTON AVE STE 100, RIVERSIDE, CA 92506(951) 830-5874(951) 686-9409 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Riverside Addiction Specialists, Inc. NPPES

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

RIVERSIDE ADDICTION SPECIALISTS, INC. (NPI 1356059877) is a healthcare organization registered as an addiction medicine in Riverside, California and active in the NPI registry since November 2022. The organization lists Ray Glendrange, President, as its authorized official.

NPPES Registry Identity

NPI1356059877

Entity TypeOrganization

Primary Taxonomy2083A0300X

Legal Business NameRIVERSIDE ADDICTION SPECIALISTS, INC.

Location Address4605 BROCKTON AVE STE 100Riverside, CA 92506-0107

Mailing Address4605 Brockton Ave Ste 100Riverside, CA 92506-0107 · (951) 830-5874 · Fax (951) 686-9409

Phone(951) 830-5874

Fax(951) 686-9409

Organization SubpartNo

Authorized OfficialRay GlendrangePresident · (951) 830-5874

Enumeration DateNovember 14, 2022

NPPES CertifiedNovember 14, 2022

✔ NPI 1356059877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

4605 BROCKTON AVE STE 100, 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

Other Providers at the Same Location NPPES 3

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

JENNIFER HUA OD

Optometrist

4605 BROCKTON AVE STE 100
RIVERSIDE, CA 92506

Riverside County (951) 686-4911

DERRICK LAI

Optometrist

4605 BROCKTON AVE STE 100
RIVERSIDE, CA 92506

Riverside County (951) 686-4911

KHALID MAHMOUD ALDAAS MD

Ophthalmology

4605 BROCKTON AVE STE 100
RIVERSIDE, CA 92506

Riverside County (951) 686-4911

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 Addiction Specialists, Inc.'s NPI number?

The NPI number for Riverside Addiction Specialists, Inc. is 1356059877. It was assigned to this organization in the NPPES registry on November 14, 2022.

Where is Riverside Addiction Specialists, Inc. located?

Riverside Addiction Specialists, Inc. is located at 4605 Brockton Ave Ste 100, Riverside, CA 92506. The listed phone number is (951) 830-5874.

What is Riverside Addiction Specialists, Inc.'s specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Riverside Addiction Specialists, Inc. was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.