NPIMap

Organization Active NPI

County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Corona, CA
National Provider Identifier
1780549014
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF RIVERSIDE
Practice address
1820 Fullerton Ave Ste 300
Corona, CA 92881-3106
Phone
(951) 358-5222
NPI assigned
Dec 18, 2025
Organization subpart
Yes
Parent organization
COUNTY OF RIVERSIDEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Jennifer Lynn Cruikshank
Title
Ceo
Phone
(951) 486-4458

Specialties & licenses 1

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

Addresses

Primary practice location

1820 Fullerton Ave Ste 300
Corona, CA 92881-3106

Mailing address

7888 Mission Grove Pkwy S Ste 120
Riverside, CA 92508-5064

Other names 2

  • Centennial CHC Other name
  • Centennial Community Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Riverside County Dept244 organizations share this tax ID, including this one
Part of
Riverside County Dept

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

1820 Fullerton Ave
Ste 300
Corona, CA 92881
Phone (951) 358-5222

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1780549014",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 300",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813106",
            "telephone_number": "951-358-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RIVERSIDE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF RIVERSIDE",
        "enumeration_date": "2025-12-18",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "CRUIKSHANK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-486-4458"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial CHC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Centennial Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.