RIVERSIDE FAMILY PHYSICIANS - PARKVIEW
NPI 1407163942
Non-Pharmacy Dispensing Site in Riverside, CA

Active since September 03, 2010CLIA 05D1032721 · Waiver
3975 JACKSON ST, 301, RIVERSIDE, CA 92503(951) 781-6335 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Riverside Family Physicians - Parkview NPPES

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

RIVERSIDE FAMILY PHYSICIANS - PARKVIEW (NPI 1407163942) is a healthcare organization registered as a non-pharmacy dispensing site in Riverside, California and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Kenny Heine, Sr. Director Operations, as its authorized official.

NPPES Registry Identity

NPI1407163942
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameRIVERSIDE FAMILY PHYSICIANS
Location Address3975 JACKSON ST, 301Riverside, CA 92503-3901
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineSr. Director Operations · (858) 625-2990
Enumeration DateSeptember 3, 2010
Last NPPES UpdateOctober 23, 2012
✔ NPI 1407163942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · A16016
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
3975 JACKSON ST, Riverside, CA 92503

Other Names 1

Doing Business AsRiverside Family Physicians - Parkview

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 05D1032721

Riverside Family Physicians A Prof Med Corp · Riverside, CA
Active · expires Oct 5, 2027
CLIA Number05D1032721
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorTarek Z. Mahdi MD
Laboratory Phone(951) 781-6335
Laboratory LocationRiverside Family Physicians A Prof Med Corp4244 Riverwalk Parkway Ste 150, Riverside, CA 92505
CLIA data matches this NPI record on: 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.

Otolaryngology
3975 JACKSON ST, STE. 202
RIVERSIDE, CA 92503
Obstetrics & Gynecology (Obstetrics)
3975 JACKSON ST, STE. #110
RIVERSIDE, CA 92503
Obstetrics & Gynecology
3975 JACKSON ST, SUITE #208
RIVERSIDE, CA 92503
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3975 JACKSON ST, STE. 200
RIVERSIDE, CA 92503
Specialist
3975 JACKSON ST, SUITE 201
RIVERSIDE, CA 92503
Acupuncturist
3975 JACKSON ST, SUITE 2069
RIVERSIDE, CA 92503
Nurse Practitioner (Pediatrics)
3975 JACKSON ST
RIVERSIDE, CA 92503
Student in an Organized Health Care Education/Training Program
3975 JACKSON ST, SUITE 102
RIVERSIDE, CA 92503

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 Family Physicians's NPI number?

The NPI number for Riverside Family Physicians is 1407163942. It was assigned to this organization in the NPPES registry on September 3, 2010. The provider is doing business as Riverside Family Physicians - Parkview.

Where is Riverside Family Physicians located?

Riverside Family Physicians is located at 3975 Jackson St 301, Riverside, CA 92503. The listed phone number is (951) 781-6335.

What is Riverside Family Physicians's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Riverside Family Physicians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1032721) is associated with this NPI, valid through October 5, 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 Riverside Family Physicians was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.