Active NPI
Riverside Medical Clinic, Inc
Doing business as Riverside Medical Clinic
- Family Medicine Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RIVERSIDE MEDICAL CLINIC, INC
- Doing business as
- Riverside Medical Clinic
- Practice address
- 21634 Retreat Pkwy
Corona, CA 92883-6100 - Phone
- (951) 683-6370
- NPI assigned
- Jul 30, 2019
- Last updated
- Jun 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anupam Gupta, MD
- Title
- Medical Director
- Phone
- (951) 683-6370
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Rheumatology Physician | 207RR0500X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Pediatrics Physician | 208000000X | |||
| Neurology Physician | 2084N0400X | |||
| Urology Physician | 208800000X | |||
| Podiatrist | 213E00000X |
Addresses
Primary practice location
21634 Retreat Pkwy
Corona, CA 92883-6100
Mailing address
3660 Arlington Ave
Riverside, CA 92506-3987
Phone (951) 683-6370
Other practice location 1
21634 Retreat Pkwy
Corona, CA 92883-6100
Phone (951) 782-5157
Other names 1
- Riverside Medical Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1087354 | Riverside Medical Clinic Inc | Provider-performed microscopy | Jul 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Riverside Medical Clinic
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Riverside Medical Clinic
- Family Medicine Physician
- Murrieta, CA
- NPI 1700295607
-
dba Riverside Medical Clinic
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
-
dba Riverside Medical Clinic
- Family Medicine Physician
- Riverside, CA
- NPI 1780782557
-
dba Riverside Medical Clinic
- Internal Medicine Physician
- Riverside, CA
- NPI 1871902452
-
dba Riverside Medical Clinic
- Family Medicine Physician
- Eastvale, CA
- NPI 1972845535
-
dba Riverside Medical Clinic
- Internal Medicine Physician
- Riverside, CA
- NPI 1982013884
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1518140540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749513600000",
"number": "1013561810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 ARLINGTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063987",
"telephone_number": "951-683-6370",
"fax_number": "951-248-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21634 RETREAT PKWY",
"city": "CORONA",
"state": "CA",
"postal_code": "928836100",
"telephone_number": "951-683-6370"
}
],
"practiceLocations": [
{
"address_1": "21634 Retreat Pkwy",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928836100",
"country_code": "US",
"telephone_number": "951-782-5157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RIVERSIDE MEDICAL CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-30",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "ANUPAM",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "951-683-6370",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverside Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.