Active NPI
Riverside Primary Care Clinic
- Primary Care Clinic/Center
- Riverside, CA
National Provider Identifier
1902405715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- RIVERSIDE PRIMARY CARE CLINIC
- Practice address
- 3978 Merrill Ave
Riverside, CA 92506 - Phone
- (951) 698-1118
- NPI assigned
- Oct 22, 2020
- Last updated
- Sep 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aldo Diaz
- Title
- Clinic Director
- Phone
- (951) 402-0990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3978 Merrill Ave
Riverside, CA 92506
Mailing address
29995 Technology Dr # A202
Murrieta, CA 92563-2632
Phone (951) 968-1309
National Provider Directory
National Provider DirectoryLocations
29995 Technology Dr
#A202
Murrieta, CA 92563
3978 Merrill Ave
Riverside, CA 92506
Phone (951) 698-1118
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Murrieta, CA
- NPI 1750655668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694563200000",
"number": "1902405715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29995 TECHNOLOGY DR # A202",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632632",
"telephone_number": "951-968-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3978 MERRILL AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92506",
"telephone_number": "951-698-1118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE PRIMARY CARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-22",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "ALDO",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "951-402-0990"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- Riverside Oncology PC (Riverside Oncology)
- Riverside Operations, LP (Westmont Village)
- Riverside Pharmacy & Compounding
- Riverside Plastic Surgery Associates Inc.
- Riverside Postacute Care LLC
- Riverside Primary Care Doctors-Inc
- Riverside Psychiatric Medical Group
- Riverside Radiation Oncology Medical Group
- Riverside Radiology Medical Group Inc
- Riverside Radiology Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.