NPIMap

Organization Active NPI

Riverside Home Medical Supply

Doing business as riverside medical supply

  • Durable Medical Equipment & Medical Supplies
  • Riverside, CA
National Provider Identifier
1306903448
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RIVERSIDE HOME MEDICAL SUPPLY
Doing business as
riverside medical supply
Practice address
2906 Rubidoux Blvd Ste a
Riverside, CA 92509-2149
Phone
(951) 683-0018
Fax
(951) 788-6496
NPI assigned
Jan 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Arthur Corrica
Title
President
Phone
(951) 683-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2906 Rubidoux Blvd Ste a
Riverside, CA 92509-2149

Mailing address

2906 Rubidoux Blvd Ste a
Riverside, CA 92509-2149
Phone (951) 683-0018

Other names 1

  • riverside medical supply Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Home Medical Supply3 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

2906 Rubidoux Blvd
Ste A
Riverside, CA 92509
Phone (951) 683-0018

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306903448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 RUBIDOUX BLVD STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925092149",
            "telephone_number": "951-683-0018",
            "fax_number": "951-788-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 RUBIDOUX BLVD STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925092149",
            "telephone_number": "951-683-0018",
            "fax_number": "951-788-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HOME MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORRICA",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-683-0018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "riverside medical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.