COUNTY OF RIVERSIDE
NPI 1396859179
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake Elsinore, CA
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
Specialties & Licenses
Other Names 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
County Of Riverside is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
331Medicare enrollment records show 331 clinicians reassign Medicare billing to County Of Riverside, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 29
Nearest to this location (20)
See all 331Lake Elsinore, CA 92530
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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. The provider is also known as Lake Elsinore Community Health Center and Lake Elsinore Family Care Center.
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.
Is County Of Riverside enrolled in Medicare?
Yes. County Of Riverside is registered in the Medicare PECOS enrollment system.
When is County Of Riverside's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through County Of Riverside?
According to the CMS Revalidation Reassignment List (October 2026 release), 331 clinicians in 29 Medicare specialties reassign their Medicare billing to County Of Riverside. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (74), Psychiatry (66) and Nurse Practitioner (39). Of these, 5 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for County Of Riverside was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# County Of Riverside · NPI 1396859179
Federally Qualified Health Center (FQHC) organization in Lake Elsinore, California. Organization record, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1396859179 (Entity type: Organization)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** LAKE ELSINORE COMMUNITY HEALTH CENTER (Other Name); LAKE ELSINORE FAMILY CARE CENTER (Other Name)
- **Organization subpart:** No
- **Authorized official:** Jennifer Cruikshank, CFO
## Practice location
- **Address:** 2499 E LAKESHORE DR, Lake Elsinore, CA 92530-4446
- **Phone:** (951) 471-4200 · **Fax:** (951) 471-4205
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 331 clinicians in 29 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (74), Psychiatry (66), Nurse Practitioner (39); 5 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1396859179/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2025
- **Other identifiers:** Other BCP70724F (CA); Medicaid FHC70724F (CA); Other HAP70724F (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1396859179) · Data from the CMS NPPES public registry.