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COUNTY OF RIVERSIDE
NPI 1396859179
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake Elsinore, CA

Active since August 18, 2006
2499 E LAKESHORE DR, LAKE ELSINORE, CA 92530(951) 471-4200(951) 471-4205 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About County Of Riverside NPPES

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

COUNTY OF RIVERSIDE (NPI 1396859179) is a healthcare organization registered as a federally qualified health center (fqhc) in Lake Elsinore, California and active in the NPI registry since August 2006. The organization lists Jennifer Lynn Cruikshank, Cfo, as its authorized official.

NPPES Registry Identity

NPI1396859179
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOUNTY OF RIVERSIDE
Location Address2499 E LAKESHORE DRLake Elsinore, CA 92530-4446
Mailing Address7888 Mission Grove Pkwy S Ste 120Riverside, CA 92508-5064 · (951) 486-6698
Phone(951) 471-4200
Fax(951) 471-4205
Organization SubpartNo
Authorized OfficialJennifer Lynn CruikshankCfo · (951) 486-6698
Enumeration DateAugust 18, 2006
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1396859179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 250000542
2499 E LAKESHORE DR, Lake Elsinore, CA 92530
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Other Names 2

Other NameLake Elsinore Community Health Center
Other NameLake Elsinore Family Care Center

Other Identifiers 3

OtherBCP70724FCA · Cancer Detection Program
MedicaidFHC70724FCA
OtherHAP70724FCA · Family Pact

Other Providers at the Same Location NPPES 14

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

MR. CRAIG DEMERS
Registered Nurse (Community Health)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4221
MRS. ILIAM AMALIA CISNEROS
Registered Nurse (Community Health)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4224
MS. SHARRON LEE SCHRENK RN
Registered Nurse (Community Health)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4227
SANDAR KYI MD
Clinic/Center (Primary Care)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4200
STEPHANIE ANN ELLIS LCSW
Social Worker (Clinical)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4224
REBEKAH KATHLEEN PADILLA RDN
Dietitian, Registered
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 358-5311
BRENDA DIAZ
Marriage & Family Therapist
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-0042
JARREN-CHRISTOPHER NEGRANZA HO SEE
Student in an Organized Health Care Education/Training Program
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4200

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 County Of Riverside's NPI number?

The NPI number for County Of Riverside is 1396859179. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is County Of Riverside located?

County Of Riverside is located at 2499 E Lakeshore Dr, Lake Elsinore, CA 92530. The listed phone number is (951) 471-4200.

What is County Of Riverside's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for County Of Riverside was last updated on November 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.