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

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: August 16, 2026.

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

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.

AMANDA LUIS CADC II
Counselor (Addiction (Substance Use Disorder))
2452 WILSHIRE ST
RIVERSIDE, CA 92501
Riverside County (951) 682-6631
KIMBERLY MARIE JONES
Counselor (Addiction (Substance Use Disorder))
2452 WILSHIRE ST
RIVERSIDE, CA 92501
Riverside County (951) 682-6631
KAREN JEAN ST. LEGER CADC-CAS
Counselor (Addiction (Substance Use Disorder))
2452 WILSHIRE ST
RIVERSIDE, CA 92501
Riverside County (714) 532-9295
CRYSTAL MOLINAR MPSS-KZTGEX
Counselor (Addiction (Substance Use Disorder))
2452 WILSHIRE ST
RIVERSIDE, CA 92501
Riverside County (951) 682-6631
MARIANNA DALEL FIGUEROA RADT1
Counselor (Addiction (Substance Use Disorder))
2452 WILSHIRE ST
RIVERSIDE, CA 92501
Riverside County (951) 682-6631
PAMELA DIEM CHAU HO LVN
Licensed Practical Nurse
2452 WILSHIRE ST
RIVERSIDE, CA 92501
Riverside County (951) 682-6631
SARAH RODDA
Counselor (Addiction (Substance Use Disorder))
2452 WILSHIRE ST
RIVERSIDE, CA 92501
Riverside County (949) 542-6835
TINA GUYETT
Counselor (Addiction (Substance Use Disorder))
2452 WILSHIRE ST
RIVERSIDE, CA 92501
Riverside County (951) 682-6631

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 Whiteside Manor, Inc.'s NPI number?

The NPI number for Whiteside Manor, Inc. is 1376081323. It was assigned to this organization in the NPPES registry on February 9, 2017. The provider is also known as Wilshire House.

Where is Whiteside Manor, Inc. located?

Whiteside Manor, Inc. is located at 2452 Wilshire St, Riverside, CA 92501. The listed phone number is (951) 682-6631.

What is Whiteside Manor, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Whiteside Manor, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2275665) is associated with this NPI, valid through January 24, 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 Whiteside Manor, Inc. was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.