NPIMap

Organization Active NPI

University of California, Health Riverside

  • Pediatrics Physician
  • La Quinta, CA
National Provider Identifier
1902450810
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
UNIVERSITY OF CALIFORNIA, HEALTH RIVERSIDE
Practice address
79430 Highway 111 Ste 102
La Quinta, CA 92253-4549
Phone
(844) 827-8000
NPI assigned
Jul 29, 2019
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Nastassia Valenzuela
Title
Quality Outcomes Manager
Phone
(760) 808-0664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

79430 Highway 111 Ste 102
La Quinta, CA 92253-4549

Mailing address

14350 Meridian Pkwy
Riverside, CA 92518-3035
Phone (760) 561-7336

National Provider Directory

National Provider Directory

Locations

14350 Meridian Pkwy
Riverside, CA 92518
Phone (909) 475-2612

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1902450810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 MERIDIAN PKWY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183035",
            "telephone_number": "760-561-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79430 HIGHWAY 111 STE 102",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534549",
            "telephone_number": "844-827-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA, HEALTH RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "NASTASSIA",
        "authorized_official_title_or_position": "QUALITY OUTCOMES MANAGER",
        "authorized_official_telephone_number": "760-808-0664"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.