SHERMAN INDIAN SCHOOL CLINIC
NPI 1619377942
Clinic/Center - Student Health in Riverside, CA

Active since August 22, 2014
9010 MAGNOLIA AVE, RIVERSIDE, CA 92503(951) 509-8914(602) 200-5383 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 26, 2021, Jun 18, 2019, Nov 13, 2017 (3 updates tracked since 2017).

About Sherman Indian School Clinic NPPES

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

SHERMAN INDIAN SCHOOL CLINIC (NPI 1619377942) is a healthcare organization registered as a student health in Riverside, California and active in the NPI registry since August 2014. The organization lists Laura A Tillman, Cmo, as its authorized official.

NPPES Registry Identity

NPI1619377942
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameDHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Location Address9010 MAGNOLIA AVERiverside, CA 92503-4431
Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6088 · Fax (602) 263-1619
Fax(602) 200-5383
Organization SubpartYesParent: Phoenix Indian Medical Center
Authorized OfficialLaura A TillmanCmo · (602) 263-1674
Enumeration DateAugust 22, 2014
Last NPPES UpdateMay 26, 20213 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
NPI 1619377942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
9010 MAGNOLIA AVE, Riverside, CA 92503

Other Names 1

Doing Business AsSherman Indian School Clinic

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
9010 MAGNOLIA AVE
RIVERSIDE, CA 92503
Nurse Practitioner (Family)
9010 MAGNOLIA AVE, SHERMAN INDIAN HIGH SCHOOL CLINIC
RIVERSIDE, CA 92503
Registered Nurse
9010 MAGNOLIA AVE
RIVERSIDE, CA 92503
Social Worker (Clinical)
9010 MAGNOLIA AVE
RIVERSIDE, CA 92503
Clinic/Center (Student Health)
9010 MAGNOLIA AVE
RIVERSIDE, CA 92503
Nurse Practitioner (Family)
9010 MAGNOLIA AVE
RIVERSIDE, CA 92503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619377942, enumerated as an "organization" on August 22, 2014.

The provider is located at 9010 MAGNOLIA AVE RIVERSIDE, CA 92503 and the phone number is (951) 509-8914.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.