NPIMap

Organization Active NPI

Dr. Javier Rios a Medical Corporation

Doing business as Dr. Rios' Clinica Medica Familiar

  • Family Medicine Physician
  • Indio, CA
National Provider Identifier
1205405974
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR. JAVIER RIOS A MEDICAL CORPORATION
Doing business as
Dr. Rios' Clinica Medica Familiar
Practice address
82935 Avenue 48 Ste 101
Indio, CA 92201-6757
Phone
(855) 505-7467
Fax
(888) 975-8926
NPI assigned
Jun 17, 2021
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Javier R Rios, MDNPI 1639246176
Title
President
Phone
(951) 354-3221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

82935 Avenue 48 Ste 101
Indio, CA 92201-6757

Mailing address

495 E Rincon St Ste 215
Corona, CA 92879-1378
Phone (951) 523-0117

Other names 1

  • Dr. Rios' Clinica Medica Familiar Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150107002576 CA Part B Supplier - Clinic/Group Practice 4183892508 Receives reassigned benefits from 32 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Temecula, CA; Perris, CA; Morongo Valley, CA; Lake Elsinore, CA; Indio, CA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2271475Dr. Rios Clinica Medica Familiar82935 Avenue 48 Ste 101, Indio, CA 92201Certificate of waiverNov 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dr Javier Rios a Medical Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

82013 Doctor Carreon Blvd
Ste M
Indio, CA 92201
Phone (760) 342-4242

82935 Avenue 48
Indio, CA 92201
Phone (951) 405-4040

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1205405974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E RINCON ST STE 215",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791378",
            "telephone_number": "951-523-0117",
            "fax_number": "951-394-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82935 AVENUE 48 STE 101",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016757",
            "telephone_number": "855-505-7467",
            "fax_number": "888-975-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAVIER RIOS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-354-3221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Rios' Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Rios' Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.