RIVERSIDE PRIMARY CARE CLINIC
NPI 1902405715
Clinic/Center - Primary Care in Riverside, CA
About Riverside Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERSIDE PRIMARY CARE CLINIC (NPI 1902405715) is a healthcare organization registered as a primary care in Riverside, California and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Aldo Diaz, Clinic Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2296911
Riverside Primary Care 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 Riverside Primary Care Clinic's NPI number?
The NPI number for Riverside Primary Care Clinic is 1902405715. It was assigned to this organization in the NPPES registry on October 22, 2020.
Where is Riverside Primary Care Clinic located?
Riverside Primary Care Clinic is located at 3978 Merrill Ave, Riverside, CA 92506. The listed phone number is (951) 698-1118.
What is Riverside Primary Care Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Riverside Primary Care Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2296911) is associated with this NPI, valid through January 7, 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 Primary Care Clinic was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Primary Care Clinic · NPI 1902405715
Primary Care organization in Riverside, California. Organization record, active in the CMS NPPES registry since October 22, 2020.
## Identity
- **NPI:** 1902405715 (Entity type: Organization)
- **Enumerated:** October 22, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Aldo Diaz, CLINIC DIRECTOR
## Practice location
- **Address:** 3978 MERRILL AVE, Riverside, CA 92506
- **Phone:** (951) 698-1118
## Record status
- **NPPES last updated:** September 13, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902405715) · Data from the CMS NPPES public registry.