Riverside Community Health Plan Medical Group, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

RIVERSIDE COMMUNITY HEALTH PLAN MEDICAL GROUP, INC

Doing business as

Riverside Physician Network

Practice address

1650 Iowa Ave
Suite 220
Riverside, CA 92507-2472

Phone

(951) 788-9800

Fax

(951) 788-0098

NPI assigned

Jul 13, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Howard Saner

Title

Ceo

Phone

(951) 788-9800

Specialties & licenses 1

Addresses

Other names 1

• Riverside Physician Network Doing business as

Locations

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871881763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 IOWA AVE",
            "address_2": "SUITE 220",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072472",
            "telephone_number": "951-788-9800",
            "fax_number": "951-788-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 IOWA AVE",
            "address_2": "SUITE 220",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072472",
            "telephone_number": "951-788-9800",
            "fax_number": "951-788-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COMMUNITY HEALTH PLAN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SANER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-788-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Physician Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Clinical Laboratory Inc
• Riverside Co. Dept. of Mental Health
• Riverside Co. Dept. of Mental Health
• Riverside Co. Dept. of Mental Health
• Riverside Community Health Foundation
• Riverside Community Hospital
• Riverside Community Hospital
• Riverside Congregational Homes (Plymouth Tower)
• Riverside County
• Riverside County

• Health Maintenance Organization in Riverside, CA
• Providers in Riverside, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.