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BROCKTON MEDICAL CLINIC
NPI 1710590971
Family Medicine in Riverside, CA

Active since August 27, 2020CLIA 05D2220208 · Waiver
6926 BROCKTON AVE STE 7, RIVERSIDE, CA 92506(855) 505-7467(888) 975-8926 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Nov 16, 2021, Nov 11, 2021 and 1 more (4 updates tracked since 2020).

About Brockton Medical Clinic NPPES

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

BROCKTON MEDICAL CLINIC (NPI 1710590971) is a healthcare organization registered as a family medicine in Riverside, California and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Javier R Rios, Owner / Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710590971
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJAVIER R RIOS MD, A PROFESSIONAL CORPORATION
Location Address6926 BROCKTON AVE STE 7Riverside, CA 92506-3804
Mailing Address495 E Rincon St Ste 215Corona, CA 92879-1378 · (951) 523-0117 · Fax (951) 475-7013
Phone(855) 505-7467
Fax(888) 975-8926
Organization SubpartNo
Authorized OfficialJavier R RiosOwner / Medical Director · (951) 354-3221
Enumeration DateAugust 27, 2020
Last NPPES UpdateJune 6, 20224 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1710590971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
6926 BROCKTON AVE STE 7, Riverside, CA 92506
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Other Names 1

Doing Business AsBrockton Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D2220208

Brockton Medical Clinic · Riverside, CA
Active · expires Apr 8, 2027
CLIA Number05D2220208
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorRodolfo Rey MD
Laboratory Phone(951) 523-0117
Laboratory LocationBrockton Medical Clinic6926 Brockton Avenue, Suite 7, Riverside, CA 92506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

INLAND EMPIRE MULTISPECIALTY GROUP PC
Obstetrics & Gynecology
6926 BROCKTON AVE STE 7
RIVERSIDE, CA 92506
Riverside County (951) 354-2229

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 Javier R Rios MD, A Professional Corporation's NPI number?

The NPI number for Javier R Rios MD, A Professional Corporation is 1710590971. It was assigned to this organization in the NPPES registry on August 27, 2020. The provider is doing business as Brockton Medical Clinic.

Where is Javier R Rios MD, A Professional Corporation located?

Javier R Rios MD, A Professional Corporation is located at 6926 Brockton Ave Ste 7, Riverside, CA 92506. The listed phone number is (855) 505-7467.

What is Javier R Rios MD, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Javier R Rios MD, A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2220208) is associated with this NPI, valid through April 8, 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 Javier R Rios MD, A Professional Corporation was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.