NPIMap

Organization Active NPI

Riverside City College

  • Student Health Clinic/Center
  • Riverside, CA
National Provider Identifier
1780008839
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
RIVERSIDE CITY COLLEGE
Practice address
4800 Magnolia Ave
Riverside, CA 92506-1299
Phone
(951) 222-8151
NPI assigned
Feb 10, 2014
Organization subpart
Yes
Parent organization
RIVERSIDE COMMUNITY COLLEGE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Aaron Brown
Title
Associate Vice Chancellor, Finance
Phone
(951) 222-8789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

4800 Magnolia Ave
Riverside, CA 92506-1299

Mailing address

4800 Magnolia Ave
Riverside, CA 92506-1299
Phone (951) 222-8151

Other names 1

  • Student Health and Psychological Services Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2032794Riverside City College Student Health Services4800 Magnolia Ave, Riverside, CA 92506Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Riverside Community College District2 organizations share this tax ID, including this one
Part of
Riverside Community College District

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1780008839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061299",
            "telephone_number": "951-222-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061299",
            "telephone_number": "951-222-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CITY COLLEGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE COMMUNITY COLLEGE DISTRICT",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "ASSOCIATE VICE CHANCELLOR, FINANCE",
        "authorized_official_telephone_number": "951-222-8789"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health and Psychological Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.