NPIMap

Organization Active NPI

County of Riverside

  • General Acute Care Hospital
  • Moreno Valley, CA
National Provider Identifier
1821159195
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
250000195 Issued in CA
Legal business name
COUNTY OF RIVERSIDE
Practice address
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone
(951) 486-4458
Fax
(951) 486-4475
NPI assigned
Dec 12, 2006
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Ms. Jennifer Cruikshank
Title
Chief Executive Officer
Phone
(951) 486-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 250000195 CA Primary

Addresses

Primary practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Mailing address

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4458

Other identifiers 1

IdentifierTypeStateIssuer
HSC30292WMedicaidCA

Other names 2

  • Riverside County Regional Medical Center Other name
  • Riverside University Health Systems - Medical Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310001107 CA Part B Supplier - Clinic/Group Practice 6507754488 Receives reassigned benefits from 362 practitioners
This NPI is an additional NPI on the enrollment
O20111129000225 CA Part A Provider - Hospital 6507754488 Practice locations: Moreno Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821159195. Details of each certification follow.

Hospital certification: CCN 050292

Legal name
COUNTY OF RIVERSIDE
Doing business as
RIVERSIDE UNIVERSITY HEALTH SYSTEMS - MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 23, 2024
Beds
439
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Care Compare: Hospital

Medicare Care Compare
Listed as
Riverside University Health System-Medical CenterCCN 050292 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Riverside County Mental Health Department245 organizations share this tax ID, including this one

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

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Cruikshank Individual W-2 Managing EmployeeChief Exectuive Officer Nov 15, 2014
County of Riverside Organization, Moreno Valley, CA 5% Or Greater Direct Ownership Interest Mar 31, 1998 100%

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
County of RiversideJurupa Valley, CA, CCN 051059 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 2, 2006
County of RiversideHemet, CA, CCN 551829 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversideRiverside, CA, CCN 551827 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2013
County of RiversidePerris, CA, CCN 551825 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversideBanning, CA, CCN 551830 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversideCorona, CA, CCN 551824 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversidePalm Springs, CA, CCN 551828 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversideLake Elsinore, CA, CCN 551831 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
County of RiversideIndio, CA, CCN 551826 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2012
Rubidoux Family Care CenterRiverside, CA, CCN 751056 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 1, 2014
Mar 1, 2014
Moreno Valley Community Health CenterMoreno Valley, CA, CCN 921147 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 6, 2018
Aug 6, 2018
County of RiversidePerris, CA, CCN 921193 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 27, 2019
Jun 27, 2016
Main Campus Community Health CenterMoreno Valley, CA, CCN 921865 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 16, 2020
Mar 16, 2020
Main Campus First Floor CHCMoreno Valley, CA, CCN A01872 Federally qualified health center Operational/Managerial Control Jan 15, 2024

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 496

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 496

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1821159195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-486-4458",
            "fax_number": "951-486-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-486-4458",
            "fax_number": "951-486-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "CRUIKSHANK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "951-486-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "250000195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30292W",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside County Regional Medical Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Riverside University Health Systems - Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.