NPIMap

Riverside Medical Clinic, Inc

Organization Active NPI Internal Medicine Physician · Riverside, CA

NPI 1730180415 · NPPES record last updated Nov 17, 2025

Key facts

NPI
1730180415
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
RIVERSIDE MEDICAL CLINIC, INC
Practice address
7117 Brockton Ave
Riverside, CA 92506-2658
Phone
(951) 683-6370
NPI assigned
Aug 3, 2005
Organization subpart
No

Authorized official

Name
Dr. Anupam Gupta, MD
Title
Medical Director
Phone
(951) 683-6370

Other NPIs on the same Medicare enrollment 8

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

Other NPIs with the same Medicare PAC ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 357

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

View all 357

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0911853Riverside Medical Clinic Inc
7117 Brockton Ave, Riverside, CA 92506		Provider-performed microscopyFeb 3, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040517000880 CA Part B Supplier - Clinic/Group Practice 2961492327 Receives reassigned benefits from 356 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Riverside, CA; Murrieta, CA; Eastvale, CA
O20251031003710 CA Part B Supplier - Intensive Cardiac Rehabilitation 2961492327 Receives reassigned benefits from 3 practitioners
Practice locations: Riverside, CA

National Provider Directory

Locations

818 Magnolia Ave
Fl 1
Corona, CA 92879

2815 S Main St
Ste 100
Corona, CA 92882

21634 Retreat Pkwy
Fl 3
Corona, CA 92883

830 Magnolia Ave
Corona, CA 92879
Phone (951) 493-6815

818 Magnolia Ave
Corona, CA 92879
Phone (562) 213-9978

12742 Limonite Ave
Eastvale, CA 92880
Phone (951) 739-2712

33040 Antelope Rd
#113114
Murrieta, CA 92563

33040 Antelope Rd
Murrieta, CA 92563

3801 University Ave
Riverside, CA 92501
Phone (909) 683-6370

7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714

9041 Magnolia Ave
Ste 204
Riverside, CA 92503

7177 Brockton Ave
Riverside, CA 92506
Phone (909) 815-9553

4100 Central Ave
Ste 201
Riverside, CA 92506
Phone (951) 268-8840

3510 Adams St
Riverside, CA 92504
Phone (951) 782-5136

19314 Jesse Ln
Ste 150
Riverside, CA 92508

6780 Indiana Ave
Ste 100
Riverside, CA 92506
Phone (951) 782-3090

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP		 163WC3500X
Allergy Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207KA0200X CA
Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207N00000X CA
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X CA
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X CA Yes
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X CA
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207W00000X
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X CA
Otolaryngology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Y00000X CA
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X CA
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084N0400X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X CA
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208800000X
Podiatrist
Group: 193200000X MULTI-SPECIALTY GROUP		 213E00000X CA
Audiologist
Group: 193200000X MULTI-SPECIALTY GROUP		 231H00000X CA

Addresses

Primary practice location

7117 Brockton Ave
Riverside, CA 92506-2658

Mailing address

3660 Arlington Ave
Riverside, CA 92506-3987
Phone (951) 683-6370

Other names

  • Riverside Medical Clinic Doing business as

Other providers in Riverside, CA

All providers in Riverside, CA · Internal Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.