NPIMap

Organization Active NPI

Regents of the University of California

Doing business as UCR Health

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1811255060
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
UCR Health
Practice address
3390 University Ave Ste 100
Riverside, CA 92501-3315
Phone
(844) 827-8000
NPI assigned
Apr 25, 2012
Last updated
Jun 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Erin Ferencik
Title
Director, Physician Relations
Phone
(951) 827-7793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3390 University Ave Ste 100
Riverside, CA 92501-3315

Mailing address

PO Box 741696
Los Angeles, CA 90074-1696
Phone (866) 819-6298

Other names 1

  • UCR Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Riverside

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120628000360 CA Part B Supplier - Clinic/Group Practice 8527223304 Receives reassigned benefits from 58 practitioners
1 other NPI on this enrollment
Practice locations: Irvine, CA; Riverside, CA

Other NPIs on the same Medicare enrollment 1

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

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
05D2129758Ucr Health Multi-Specialty3390 University Ave Ste 100, Riverside, CA 92501Provider-performed microscopyApr 24, 2027

National Provider Directory

National Provider Directory

Locations

3390 University Ave
Ste 1
Riverside, CA 92501
Phone (951) 827-7793

3390 University Ave
Ste 115
Riverside, CA 92501
Phone (844) 827-8000

Practitioners & affiliated clinicians

Practitioners 71

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.

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1811255060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741696",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741696",
            "telephone_number": "866-819-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 UNIVERSITY AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013315",
            "telephone_number": "844-827-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "FERENCIK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICIAN RELATIONS",
        "authorized_official_telephone_number": "951-827-7793"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Riverside",
            "affiliation": "N",
            "endpointDescription": "www.ucrhealth.org",
            "address_1": "3390 University Ave Ste 100",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925013315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UCR Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCR Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 8, 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.