Riverside Life Services, Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

RIVERSIDE LIFE SERVICES, INC

Practice address

3727 McCray St
Riverside, CA 92506-2928

Phone

(951) 784-2422

Fax

(951) 276-2907

NPI assigned

Jun 1, 2012

Last updated

Jun 1, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas Minahan, DO

Title

Medical Director

Phone

(951) 340-1002

Specialties & licenses 1

Addresses

Other names 1

• Riverside Life Services Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1114288586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 MCCRAY ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062928",
            "telephone_number": "951-784-2422",
            "fax_number": "951-276-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 MCCRAY ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062928",
            "telephone_number": "951-784-2422",
            "fax_number": "951-276-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE LIFE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "MINAHAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-340-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Life Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Riverside Home Medical Supply (riverside medical supply)
• Riverside Homes Senior Living LLC
• Riverside Imaging LLC (Computerized Diagnostic Imaging Centers - Riverside)
• Riverside Imaging LLC (Computerized Diagnostic Imaging Centers Riverside)
• Riverside Incare Hospitalists, Inc
• Riverside Medical Associates Inc
• Riverside Medical Clinic, Inc (Riverside Medical Clinic)
• Riverside Medical Clinic, Inc (Riverside Medical Clinic)
• Riverside Medical Clinic, Inc (Riverside Medical Clinic)
• Riverside Medical Clinic, Inc (Riverside Medical Clinic)

• Community Health Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.

Verify at the official NPI Registry.