NPIMap

Organization Active NPI

County of Riverside

Doing business as Main Campus First Floor Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Moreno Valley, CA
National Provider Identifier
1649845496
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF RIVERSIDE
Doing business as
Main Campus First Floor Community Health Center
Practice address
26600 Cactus Ave Ste 100
Moreno Valley, CA 92555-3901
Phone
(951) 358-5222
NPI assigned
May 24, 2021
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Jennifer Lynn Cruikshank
Title
Cfo
Phone
(951) 486-4135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

26600 Cactus Ave Ste 100
Moreno Valley, CA 92555-3901

Mailing address

7888 Mission Grove Pkwy S Ste 120
Riverside, CA 92508-5064
Phone (951) 358-6278

Other names 1

  • Main Campus First Floor Community Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240522002358 CA Part A Provider - Federally Qualified Health Center (FQHC) 6507754488 Practice locations: Moreno Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649845496. Details of each certification follow.

Federally qualified health center certification: CCN A01872

Legal name
COUNTY OF RIVERSIDE
Doing business as
MAIN CAMPUS FIRST FLOOR CHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 25, 2024
Last certification
Apr 25, 2024
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Incorporated
Jan 15, 2024 in CA
Enrollment address
26600 Cactus Ave
Ste 100
Moreno Valley, CA 92555-3901

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Riverside Neighborhood244 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

26600 Cactus Ave
Ste 100
Moreno Valley, CA 92555
Phone (951) 214-0524

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Cruikshank Individual Corporate OfficerChief Executive Officer Jan 1, 2016 100%
Operational/Managerial ControlChief Executive Officer Mar 13, 2019 100%
County of Riverside Organization, Riverside, CA Operational/Managerial Control Jan 15, 2024

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Riverside University Health Systems - Medical CenterMoreno Valley, CA, CCN 050292 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 31, 1998
County of RiversideJurupa Valley, CA, CCN 051059 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 2, 2006
County of RiversideHemet, CA, CCN 551829 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversideRiverside, CA, CCN 551827 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2013
County of RiversidePerris, CA, CCN 551825 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversideBanning, CA, CCN 551830 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversideCorona, CA, CCN 551824 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversidePalm Springs, CA, CCN 551828 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversideLake Elsinore, CA, CCN 551831 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversideIndio, CA, CCN 551826 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
Rubidoux Family Care CenterRiverside, CA, CCN 751056 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 1, 2014
Mar 1, 2014
Moreno Valley Community Health CenterMoreno Valley, CA, CCN 921147 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 6, 2018
Aug 6, 2018
County of RiversidePerris, CA, CCN 921193 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 CenterMoreno Valley, CA, CCN 921865 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 16, 2020
Mar 16, 2020

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1649845496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7888 MISSION GROVE PKWY S STE 120",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085064",
            "telephone_number": "951-358-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26600 CACTUS AVE STE 100",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553901",
            "telephone_number": "951-358-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "CRUIKSHANK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-486-4135"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Campus First Floor Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.