RIVERSIDE HEALTH CLINIC OF COLUSA
NPI 1710172242
Internal Medicine in Colusa, CA
About Riverside Health Clinic Of Colusa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERSIDE HEALTH CLINIC OF COLUSA (NPI 1710172242) is a healthcare organization registered as an internal medicine in Colusa, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Sanjiv K Midha, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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)
Riverside Health Clinic Of Colusa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Riverside Health Clinic Of Colusa, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D1080343
Riverside Health Clinic Of Colusa Inc · Colusa, CAFrequently 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 Health Clinic Of Colusa's NPI number?
The NPI number for Riverside Health Clinic Of Colusa is 1710172242. It was assigned to this organization in the NPPES registry on September 7, 2007.
Where is Riverside Health Clinic Of Colusa located?
Riverside Health Clinic Of Colusa is located at 717 Bridge St, Colusa, CA 95932. The listed phone number is (530) 458-2300.
What is Riverside Health Clinic Of Colusa's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Riverside Health Clinic Of Colusa enrolled in Medicare?
Yes. Riverside Health Clinic Of Colusa is registered in the Medicare PECOS enrollment system.
When is Riverside Health Clinic Of Colusa's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Rural Health Clinic) is due for revalidation by March 31, 2027. 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 Riverside Health Clinic Of Colusa?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Riverside Health Clinic Of Colusa. 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 Nurse Practitioner (6) and Hospitalist (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Riverside Health Clinic Of Colusa hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1080343) is associated with this NPI, valid through February 19, 2028. 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 Health Clinic Of Colusa was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Riverside Health Clinic Of Colusa · NPI 1710172242
Internal Medicine organization in Colusa, California. Organization record, active in the CMS NPPES registry since September 7, 2007.
## Identity
- **NPI:** 1710172242 (Entity type: Organization)
- **Enumerated:** September 7, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Sanjiv Midha, PHYSICIAN
## Practice location
- **Address:** 717 BRIDGE ST, Colusa, CA 95932-2851
- **Phone:** (530) 458-2300 · **Fax:** (530) 458-5558
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, California, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Hospitalist (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710172242) · Data from the CMS NPPES public registry.