Organization Active NPI

Javier R Rios MD a Medical Professional Corporation

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1497829949
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30370 Issued in AZ
Legal business name
JAVIER R RIOS MD A MEDICAL PROFESSIONAL CORPORATION
Practice address
3770 S 16TH Ave
Tucson, AZ 85713-6081
Phone
(520) 620-1200
Fax
(520) 620-1400
NPI assigned
Nov 17, 2006
Organization subpart
Yes
Parent organization
JAVIER R RIOS MD A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Dr. Javier R Rios, MDNPI 1639246176
Title
Ceo/ Medical Director
Phone
(951) 523-0117

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 30370 AZ Primary

Addresses

Primary practice location

3770 S 16TH Ave
Tucson, AZ 85713-6081

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
Z78590OtherAZMEDICARE PIN
78444OtherAZMEDICARE PIN
706393OtherAZAHCCCS

Other names 1

  • Tucson Clinica Medica Familiar Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419001374 AZ Part B Supplier - Clinic/Group Practice 4688669674 Receives reassigned benefits from 13 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory
Part of
Javier R Rios MD a Prof

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1497829949",
    "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": "3770 S 16TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136081",
            "telephone_number": "520-620-1200",
            "fax_number": "520-620-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER R RIOS MD A MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAVIER R RIOS MD A PROFESSIONAL CORPORATION",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-523-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "30370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "Z78590",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "78444",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "706393",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tucson Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.