NPIMap

Organization Active NPI

Riverside Healthcare System, L.P.

Doing business as Riverside Community Hospital

  • General Acute Care Hospital
  • Riverside, CA
National Provider Identifier
1114971660
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
RIVERSIDE HEALTHCARE SYSTEM, L.P.
Doing business as
Riverside Community Hospital
Practice address
4445 Magnolia Ave
Riverside, CA 92501-4135
Phone
(951) 788-3000
Fax
(909) 788-3201
NPI assigned
May 20, 2006
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Ashley Todd Lacaze
Title
Cfo
Phone
(951) 788-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Mailing address

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 788-3000

Other identifiers 8

IdentifierTypeStateIssuer
12614MedicaidTN
HSC30022GMedicaidCA
050022OtherCABLUE CROSS
3021292MedicaidWA
923856MedicaidAZ
003498300MedicaidID
10025186300MedicaidNE
ZZZA3301ZOtherCABLUE SHIELD

Other names 1

  • RIVERSIDE COMMUNITY HOSPITAL Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address RIVERSIDE.COCDAW.CAC@CCDA.HCADIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030820000011 CA Part A Provider - Hospital 5597676247 Practice locations: Riverside, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114971660. Details of each certification follow.

Hospital certification: CCN 050022

Legal name
RIVERSIDE HEALTHCARE SYSTEM, L.P.
Doing business as
RIVERSIDE COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 4, 2025
Beds
517
Ownership / control type
Private (for profit)
Most recent change of ownership
May 1, 1997 (1 total)
Organization structure
PartnershipProprietary
Incorporated
Apr 6, 1997 in CA
Enrollment address
4445 Magnolia Ave
Riverside, CA 92501-4135
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Short-term, Other

Care Compare: Hospital

Medicare Care Compare
Listed as
Riverside Community HospitalCCN 050022 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Riverside Hlthcare Syst6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4000 14th St
Ste 102
Riverside, CA 92501
Phone (951) 276-7500

4000 14th St
Ste 214
Riverside, CA 92501
Phone (951) 684-1415

4444 Magnolia Ave
Ste A
Riverside, CA 92501
Phone (951) 274-3485

4500 Brockton Ave
Ste 219
Riverside, CA 92501
Phone (951) 276-7550

4500 Brockton Ave
Ste 307
Riverside, CA 92501
Phone (951) 786-5550

4500 Brockton Ave
Ste 309
Riverside, CA 92501
Phone (951) 788-3460

4510 Brockton Ave
Ste 175
Riverside, CA 92501
Phone (951) 786-5100

4646 Brockton Ave
Ste 103
Riverside, CA 92506
Phone (909) 558-2824

Interoperability endpoints

  • Direct secure messaging: riverside.cocdaw.cac@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
HCA Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2016 100%
Andrew C Hartmann Individual Corporate OfficerCfo Jun 1, 2026
W-2 Managing Employee Jun 1, 2026
Eric D Smith Individual Contracted Managing EmployeeVice President of Reimbursement Mar 1, 2021
Peter B Hemstead Individual Corporate OfficerCeo Jan 1, 2025
W-2 Managing EmployeeCeo Jan 1, 2025
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2016 100%
Frisco Holding II Organization, Wilmington, DE For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2016 22%
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2016 100%
Notco, LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2016 75%
Jacqueline R Van Blaricum Individual Corporate OfficerCeo May 13, 2019
W-2 Managing EmployeeCeo May 13, 2019
Columbia Riverside, Inc. Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2007 75%
General Partnership Interest Apr 30, 2007 75%
Riverside Holdings, Inc. Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2016 25%
Limited Partnership Interest Jul 26, 2016 25%

Facilities with the same owner 33

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 33

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 408

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 408

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1114971660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "951-788-3000",
            "fax_number": "909-788-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "951-788-3000",
            "fax_number": "909-788-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HEALTHCARE SYSTEM, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "LACAZE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-788-3000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12614",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30022G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "050022",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3021292",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "923856",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003498300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025186300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZA3301Z",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RIVERSIDE.COCDAW.CAC@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received.",
            "address_1": "4445 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925014135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RIVERSIDE COMMUNITY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RIVERSIDE COMMUNITY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.