Riverside Unified School District

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

15101 Issued in CA

Legal business name

RIVERSIDE UNIFIED SCHOOL DISTRICT

Practice address

5700 Arlington Ave
Riverside, CA 92504-2035

Phone

(951) 274-4213

Fax

(951) 274-4203

NPI assigned

Aug 3, 2016

Organization subpart

No

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

Authorized official

Name

John Davis, RN, FNP-BC

Title

Lead Nurse, Health Services

Phone

(951) 274-4213

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Riverside Unified School District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Riverside Unified School District

  • Student Health Clinic/Center
  • Riverside, CA
  • NPI 1134345952
  NPD tax ID
• Riverside Unified School District

  • Local Education Agency (LEA)
  • Riverside, CA
  • NPI 1710189352
  NPD tax ID

Locations

Practitioners 1

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

• Gerald Lee Saks, M.D.

  • Student Health Clinic/Center
  • Riverside, CA
  • NPI 1184830713

  Student Health

  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1669925939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 14TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013810",
            "telephone_number": "951-274-4213",
            "fax_number": "951-274-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042035",
            "telephone_number": "951-274-4213",
            "fax_number": "951-274-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LEAD NURSE, HEALTH SERVICES",
        "authorized_official_telephone_number": "951-274-4213",
        "authorized_official_credential": "RN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "15101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760426449",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710189352",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverside SNF, LLC
• Riverside Specialty Care
• Riverside Specialty Care Medical Corp
• Riverside Supportive Living
• Riverside Unified School District
• Riverside Unified School District
• Riverside Univeristy Health System Department of Mental Health
• Riverside University Health System
• Riverside Villa
• Riverwalk Facial and Oral Surgery

• All providers in Riverside, CA
• Student Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.