RIVERSIDE EMERGENCY PHYSICIANS MEDICAL GROUP
NPI 1972539039
Emergency Medicine in Riverside, CA

Active since June 23, 2006
3865 JACKSON ST, RIVERSIDE, CA 92503(951) 898-0823(405) 751-3183 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Nov 18, 2020, Dec 7, 2015 (3 updates tracked since 2015).

About Riverside Emergency Physicians Medical Group NPPES

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

RIVERSIDE EMERGENCY PHYSICIANS MEDICAL GROUP (NPI 1972539039) is a healthcare organization registered as an emergency medicine in Riverside, California and active in the NPI registry since June 2006. The organization lists Chad L. Clark, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1972539039
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameRIVERSIDE EMERGENCY PHYSICIANS MEDICAL GROUP
Location Address3865 JACKSON STRiverside, CA 92503-3919
Mailing Address4401 W Memorial Rd, Suite 121Oklahoma City, OK 73134-1785 · (800) 749-4560 · Fax (405) 755-5283
Fax(405) 751-3183
Organization SubpartNo
Authorized OfficialChad L. ClarkManaging Partner · (626) 447-0296
Enumeration DateJune 23, 2006
Last NPPES UpdateJune 11, 20263 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1972539039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3865 JACKSON ST, Riverside, CA 92503

Other Names 1

Doing Business AsRiverside Emergency Physicians Medical Group

Other Identifiers 1

MedicaidGR0094070CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Emergency Physicians Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Riverside Emergency Physicians Medical Group, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Emergency Medicine36
Nurse Practitioner8
Family Practice2
Hospitalist1
Orthopedic Surgery1

Nearest to this location (20)

See all 48
Emergency Medicine
NPI 1134821838
3865 JACKSON ST
Riverside, CA 92503
(951) 352-5666
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1528097045
3865 JACKSON ST
Riverside, CA 92503
(951) 352-5666
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1831313337
3865 JACKSON ST
Riverside, CA 92503
(951) 898-0823
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1134158520
3865 JACKSON ST
Riverside, CA 92503
(951) 352-5666
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1023052545
3865 JACKSON ST
Riverside, CA 92503
(951) 352-5666
✔ PECOSSame address
Nurse Practitioner
NPI 1710627435
12415 BRIANWOOD DR
Riverside, CA 92503
(951) 536-5764
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1336919042
12415 BRIANWOOD DR
Riverside, CA 92503
(951) 858-7730
✔ PECOS✔ Accepts Medicare4.0 mi
Emergency Medicine
NPI 1598224982
4445 MAGNOLIA AVE
Riverside, CA 92501
(562) 458-4035
✔ PECOS4.7 mi
Emergency Medicine
NPI 1760986756
4445 MAGNOLIA AVE
Riverside, CA 92501
(951) 788-3000
✔ PECOS✔ Accepts Medicare4.7 mi
Emergency Medicine
NPI 1124294517
4445 MAGNOLIA AVE
Riverside, CA 92501
(951) 684-3910
✔ PECOS✔ Accepts Medicare4.7 mi
Emergency Medicine
NPI 1992201677
14350 MERIDIAN PKWY # 2
Riverside, CA 92518
(951) 827-7669
✔ PECOS✔ Accepts Medicare8.8 mi
Emergency Medicine
NPI 1497381537
11234 ANDERSON ST
Loma Linda, CA 92354
(909) 558-4085
✔ PECOS✔ Accepts Medicare13 mi
Emergency Medicine
NPI 1083243190
LOMA LINDA UNIVERSITY HEALTH - EMERGENCY MEDICINE 11234 ANDERSON STREET
Loma Linda, CA 92354
(909) 558-4085
✔ PECOS✔ Accepts Medicare14 mi
Emergency Medicine
NPI 1053874305
25915 BARTON RD STE 204
Loma Linda, CA 92354
(951) 724-4947
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1952845364
26001 REDLANDS BLVD
Redlands, CA 92373
(909) 825-7084
✔ PECOS15 mi
Nurse Practitioner
NPI 1336502582
6299 FILLY CT
Rancho Cucamonga, CA 91739
(909) 319-9911
✔ PECOS✔ Accepts Medicare16 mi
Emergency Medicine
NPI 1417991811
5451 WALNUT AVE
Chino, CA 91710
(909) 464-8666
✔ PECOS✔ Accepts Medicare16 mi
Emergency Medicine
NPI 1902846710
5451 WALNUT AVE
Chino, CA 91710
(909) 464-8666
✔ PECOS✔ Accepts Medicare16 mi
Emergency Medicine
NPI 1336183730
5451 WALNUT AVE
Chino, CA 91710
(909) 464-8666
✔ PECOS✔ Accepts Medicare16 mi
Emergency Medicine
NPI 1255595054
1301 N ROSE DR
Placentia, CA 92870
(714) 524-4827
✔ PECOS✔ Accepts Medicare23 mi
See all 48 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Riverside Emergency Physicians Medical Group's NPI number?

The NPI number for Riverside Emergency Physicians Medical Group is 1972539039. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Riverside Emergency Physicians Medical Group located?

Riverside Emergency Physicians Medical Group is located at 3865 Jackson St, Riverside, CA 92503. The listed phone number is (951) 898-0823.

What is Riverside Emergency Physicians Medical Group's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Riverside Emergency Physicians Medical Group enrolled in Medicare?

Yes. Riverside Emergency Physicians Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Riverside Emergency Physicians Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 5 Medicare specialties reassign their Medicare billing to Riverside Emergency Physicians Medical Group. 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 Emergency Medicine (36), Nurse Practitioner (8) and Family Practice (2). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Riverside Emergency Physicians Medical Group was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.