Organization Active NPI

River Pediatrics Clinic

  • Clinic/Center
  • Sacramento, CA
National Provider Identifier
1639062870
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RIVER PEDIATRICS CLINIC
Practice address
3535 65TH St
Sacramento, CA 95820-2057
Phone
(530) 564-8439
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Dr. Douglas Gross, MD
Title
Medical Director
Phone
(530) 219-8960

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Community Health Clinic/Center 261QC1500X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

3535 65TH St
Sacramento, CA 95820-2057

Mailing address

3707 Orangerie Way
Carmichael, CA 95608-2845
Phone (520) 444-2504

National Provider Directory

National Provider Directory

Locations

3535 65th St
Sacramento, CA 95820
Phone (530) 564-8439

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": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1639062870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 ORANGERIE WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082845",
            "telephone_number": "520-444-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 65TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202057",
            "telephone_number": "530-564-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER PEDIATRICS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "530-219-8960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.