BROCKTON MEDICAL CLINIC
NPI 1710590971
Family Medicine in Riverside, CA
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
Specialties & Licenses 4
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brockton Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Brockton Medical Clinic, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 28Source: 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 05D2220208
Brockton Medical Clinic · Riverside, 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 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.
Is Javier R Rios MD, A Professional Corporation enrolled in Medicare?
Yes. Javier R Rios MD, A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Javier R Rios MD, A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 5 Medicare specialties reassign their Medicare billing to Javier R Rios MD, A Professional Corporation. 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 (11), Family Practice (8) and Internal Medicine (4). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Brockton Medical Clinic · NPI 1710590971
Family Medicine organization in Riverside, California. Organization record, active in the CMS NPPES registry since August 27, 2020.
## Identity
- **NPI:** 1710590971 (Entity type: Organization)
- **Enumerated:** August 27, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Javier R Rios Md, A Professional Corporation
- **Organization subpart:** No
- **Authorized official:** Javier Rios, OWNER / MEDICAL DIRECTOR
## Practice location
- **Address:** 6926 BROCKTON AVE STE 7, Riverside, CA 92506-3804
- **Phone:** (855) 505-7467 · **Fax:** (888) 975-8926
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (8), Internal Medicine (4); 11 practice within 10 miles; [full list](https://npiprofile.com/npi/1710590971/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2022
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1710590971) · Data from the CMS NPPES public registry.