Riverside Medical Clinic, Inc
Organization Active NPI Internal Medicine Physician · Riverside, CA
NPI 1871902452 · NPPES record last updated Jun 27, 2025
Key facts
- NPI
- 1871902452
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- RIVERSIDE MEDICAL CLINIC, INC
- Practice address
- 19314 Jesse LN
Suite 150
Riverside, CA 92508-5069 - Phone
- (951) 683-6370
- Fax
- (951) 248-6708
- NPI assigned
- Aug 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Anupam Gupta, MD
- Title
- Medical Director
- Phone
- (951) 683-6370
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 7
Member organizations 1
Practitioners 41
-
Omar Ahmed, MD
-
Amardip S. Bhuller, M.D.
-
Anand Raja Bhupathy, D.O.
-
Latoya Calvin, NP
-
Justin Roy Camara, M.D.
-
Stacy Marie Catalon, M.D.
-
Subash Chander, M.D
-
Miriam Cho, M.D
-
Manita Choudhary, MD
-
Douglas Ow Eaton, MD
-
Robert Clark Gifford, DPM
-
Shilpa Gupta, M.D.
-
Sophia Phuong Ho, DO
-
Gurwinder Kaur, NP
-
Baseer M Khan, MD
-
John A King, MD
-
Stanton S Kremsky, M.D.
-
Subbu Nagappan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040517000880 | CA | Part B Supplier - Clinic/Group Practice | 2961492327 |
Receives reassigned benefits from 356 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Riverside, CA; Murrieta, CA; Eastvale, CA |
National Provider Directory
- Tax ID family
- Riverside Medical Clini
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Pediatrics Physician |
208000000X | |||
| Urology Physician |
208800000X |
Addresses
Primary practice location
19314 Jesse LN
Suite 150
Riverside, CA 92508-5069
Mailing address
3660 Arlington Ave
Riverside, CA 92506-3987
Phone (951) 683-6370
Other names
- Riverside Medical Clinic
Other providers in Riverside, CA
- Riverside Medical Clinic, Inc
- Riverside Medical Clinic, Inc
- Riverside Medical Clinic, Inc
- Riverside Medical Clinic, Inc
- Riverside Medical Clinic, Inc
- Riverside Medical Clinic, Inc
- Riverside Medical Clinic, Inc.
- Riverside Medical Imaging, L.L.C.
- Riverside Medical Supply
- Riverside Mental Health
All providers in Riverside, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.