Organization Active NPI

Arthritis Center of Riverside Medical Corp

  • Specialist
  • Riverside, CA
National Provider Identifier
1922478908
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A35128 Issued in CA
Legal business name
ARTHRITIS CENTER OF RIVERSIDE MEDICAL CORP
Practice address
11725 Slate Ave
Suite 100
Riverside, CA 92505-7100
Phone
(951) 352-1700
Fax
(951) 352-9117
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Jessica Henderson
Title
Billing Manager
Phone
(951) 352-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A35128 CA Primary

Addresses

Primary practice location

11725 Slate Ave
Suite 100
Riverside, CA 92505-7100

Mailing address

11725 Slate Ave
Suite 100
Riverside, CA 92505-7100
Phone (951) 352-1700

Other names 1

  • Arthritis Center of Riverside Former legal business name

National Provider Directory

National Provider Directory

Locations

11725 Slate Ave
Ste 100
Riverside, CA 92505
Phone (951) 352-1700

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1922478908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 SLATE AVE",
            "address_2": "SUITE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057100",
            "telephone_number": "951-352-1700",
            "fax_number": "951-352-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 SLATE AVE",
            "address_2": "SUITE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057100",
            "telephone_number": "951-352-1700",
            "fax_number": "951-352-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS CENTER OF RIVERSIDE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "951-352-1700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A35128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arthritis Center of Riverside",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.