County of Riverside
Organization Active NPI Federally Qualified Health Center (FQHC) · Riverside, CA
NPI 1356455299 · NPPES record last updated Nov 21, 2025
Key facts
- NPI
- 1356455299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COUNTY OF RIVERSIDE
- Practice address
- 5256 Mission Blvd
Riverside, CA 92509-4611 - Phone
- (951) 955-0840
- Fax
- (951) 955-5317
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Lynn Cruikshank
- Title
- Cfo
- Phone
- (951) 486-6698
Owners & managing parties with NPI records 15
Owned or controlled facilities with NPI records 14
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 24
Facilities with the same owner 14
Practitioners 196
-
Oscar Rene Cama, M.D.
-
Betty Mandela, MD, MPH
-
Diem L Ngo, M.D
-
Kimberly Sales, NP
-
Joshua Winn, MD
-
Vivian Acevedo, PA-C
-
Sana Afroz, MD
-
Adolfo Aguilera, MD
-
Katherine Ann Alexander, FNP-C
-
Aura E Almazan, NP-C
-
Arthur Amador, MD
-
Margaret Akua Amoo, NURSE PRACTITIONER
-
Kristen Marie Anderson, M.D., PH.D.
-
Parastoo Aryafar, NP
-
Armaghan Azad, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Federally qualified health center certification: CCN 751056
- Legal name
- COUNTY OF RIVERSIDE
- Doing business as
- RUBIDOUX FAMILY CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- May 20, 2014
- Last certification
- May 20, 2014
- Ownership / control type
- For profit – corporation
- Organization structure
- Government · Non-profit
- Enrollment address
- 5256 Mission Blvd
Riverside, CA 92509-4624
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Cruikshank |
Operational/Managerial Control |
Jan 1, 2016 | 100% |
| County of Riverside |
5% Or Greater Direct Ownership Interest | Mar 1, 2014 | 100% |
| Operational/Managerial Control | Mar 1, 2014 | 100% |
All facility ownership & control disclosures 14
| Facility | Type | Role | Since |
|---|---|---|---|
| Riverside University Health Systems - Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 1998 |
| County of Riverside |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 2, 2006 |
| County of Riverside |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2012 |
| County of Riverside |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2013 |
| County of Riverside |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2012 |
| County of Riverside |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2012 |
| County of Riverside |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2012 |
| County of Riverside |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2012 |
| County of Riverside |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2012 |
| County of Riverside |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2012 |
| Moreno Valley Community Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 6, 2018 Aug 6, 2018 |
| County of Riverside |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 27, 2019 Jun 27, 2016 |
| Main Campus Community Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 16, 2020 Mar 16, 2020 |
| Main Campus First Floor CHC |
Federally qualified health center | Operational/Managerial Control | Jan 15, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310001107 | CA | Part B Supplier - Clinic/Group Practice | 6507754488 |
Receives reassigned benefits from 362 practitioners This NPI is an additional NPI on the enrollment |
| O20140425001105 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 6507754488 | Practice locations: Riverside, CA |
National Provider Directory
- Tax ID family
- Riverside County Dept
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
5256 Mission Blvd
Riverside, CA 92509-4611
Mailing address
7888 Mission Grove Pkwy S Ste 120
Riverside, CA 92508-5064
Phone (951) 486-6698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EXE70155F | Medicaid | CA |
Other names
- RUBIDOUX FAMILY CARE CENTER
- Rubidoux Community Health Center
Other providers in Riverside, CA
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
All providers in Riverside, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.