Organization Active NPI

Rise Resource Center Ca LLC

  • Family Medicine Physician
  • Stockton, CA
National Provider Identifier
1417883323
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RISE RESOURCE CENTER CA LLC
Practice address
5250 Claremont Ave Ste 100
Stockton, CA 95207-5666
Phone
(702) 885-1441
NPI assigned
Jun 18, 2026
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Amiyna WashingtonNPI 1588575880
Title
Ceo
Phone
(702) 885-1441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

5250 Claremont Ave Ste 100
Stockton, CA 95207-5666

Mailing address

5250 Claremont Ave Ste 100
Stockton, CA 95207-5666

National Provider Directory

National Provider Directory

Locations

5250 Claremont Ave
Ste 100
Stockton, CA 95207
Phone (702) 683-9050

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1417883323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 CLAREMONT AVE STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 CLAREMONT AVE STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075666",
            "telephone_number": "702-885-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE RESOURCE CENTER CA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "AMIYNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-885-1441"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.