Javier R Rios MD, a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAVIER R RIOS MD, A PROFESSIONAL CORPORATION

Doing business as

Brockton Medical Clinic

Practice address

6926 Brockton Ave Ste 7
Riverside, CA 92506-3804

Phone

(855) 505-7467

Fax

(888) 975-8926

NPI assigned

Aug 27, 2020

Last updated

Jun 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Javier R Rios, MDNPI 1639246176

Title

Owner / Medical Director

Phone

(951) 354-3221

Specialties & licenses 4

Addresses

Other names 1

• Brockton Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Javier R Rios MD, a Professional Corporation

  dba Magnolia Clinica Medica Familiar

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1235138363

  O20050124001071

  Same enrollment
• Javier R. Rios MD a Professional Corporation

  dba Chicago Clinica Medica Familiar

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1841023801

  O20050124001071

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Javier R Rios, MD

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1639246176

  Multi-Specialty

  NPD Authorized official
• Joanne S Delgado, NP

  • Family Medicine Physician
  • Indio, CA
  • NPI 1821683806
  NPD
• Kajal Gupta, M.D

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1154461010
  NPD
• Reyna Renee Montoya, FNP

  • Family Nurse Practitioner
  • Menifee, CA
  • NPI 1508531302
  NPD
• Mayra Leticia Padilla Arechiga, NP

  • Nurse Practitioner
  • Lake Elsinore, CA
  • NPI 1265080949
  NPD
• Shivani Sharma

  • Family Nurse Practitioner
  • Palo Alto, CA
  • NPI 1649989591
  NPD

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1710590971",
    "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": "951-475-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 BROCKTON AVE STE 7",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063804",
            "telephone_number": "855-505-7467",
            "fax_number": "888-975-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER R RIOS MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-354-3221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brockton Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brockton Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Xochitl Elizabeth Jauregui
• Arianna Jaurequi
• Michael Jaurigue
• Hooman Mehdi Javanmardi
• Javier R Rios MD, a Professional Corporation (Magnolia Clinica Medica Familiar)
• Javier R. Rios MD a Professional Corporation (Chicago Clinica Medica Familiar)
• Edward D. Javor, MD
• Jay Kyung Lee M.D. Apc
• Arindra Jayasekara, M.D..
• Folashade Jayeoba-Sampay, PMHNP-BC

• Family Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.