WILSHIRE HOUSE
NPI 1376081323
Substance Abuse Rehabilitation Facility in Riverside, CA

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since February 09, 2017CLIA 05D2275665 · Waiver

2452 WILSHIRE ST, RIVERSIDE, CA 92501(951) 682-6631 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Dec 11, 2017, Feb 9, 2017 (3 updates tracked since 2017).

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About Wilshire House NPPES

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

WILSHIRE HOUSE (NPI 1376081323) is a healthcare organization registered as a substance abuse rehabilitation facility in Riverside, California and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through January 24, 2027, maintains a secondary practice location in Riverside, and lists Dori Dotson, Admin, as its authorized official.

NPPES Registry Identity

NPI1376081323

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameWHITESIDE MANOR, INC.

Location Address2452 WILSHIRE STRiverside, CA 92501-2144

Mailing Address2743 Orange StRiverside, CA 92501-2538

Phone(951) 682-6631

Organization SubpartYes

Authorized OfficialDori DotsonAdmin · (951) 788-9515

Enumeration DateFebruary 9, 2017

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1376081323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

2452 WILSHIRE ST, Riverside, CA 92501

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Other Names 1

Other NameWilshire House

Secondary Practice Location 1

Location 12456 Wilshire StreetRiverside, CA 92501 · Phone (951) 683-6631

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 05D2275665

Whiteside Manor · Riverside, CA

Active · expires Jan 24, 2027

CLIA Number05D2275665

Laboratory TypeResidentiail Treatment

Certificate Effective DateJanuary 25, 2025

Certificate Expiration DateJanuary 24, 2027

Laboratory DirectorMichael S. Valdez

Laboratory Phone(951) 788-9515

Laboratory LocationWhiteside Manor2743 Orange Street, Riverside, CA 92501

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only 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.

TERESA FORD

Counselor (Addiction (Substance Use Disorder))