Organization Active NPI

Nightingale Clinical Care, PC

  • Primary Care Clinic/Center
  • Riverside, CA
National Provider Identifier
1972159069
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NIGHTINGALE CLINICAL CARE, PC
Practice address
4361 Latham St Ste 270
Riverside, CA 92501-4332
Phone
(951) 774-0064
NPI assigned
Aug 14, 2019
Last updated
Feb 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Amy Gen
Title
Owner
Phone
(559) 977-0953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4361 Latham St Ste 270
Riverside, CA 92501-4332

Mailing address

10690 San Pablo Ave
El Cerrito, CA 94530-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200409003495 CA Part B Supplier - Clinic/Group Practice 2365871464 Receives reassigned benefits from 81 practitioners
Practice locations: Ontario, CA; San Bernardino, CA; Tracy, CA; Tulare, CA; Turlock, CA; Upland, CA; Victorville, CA; Visalia, CA…

National Provider Directory

National Provider Directory

Locations (25 of 47)

902 Bear Mountain Blvd
Arvin, CA 93203
Phone (209) 543-1720

8331 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 631-0227

6090 W Ramsey St
Banning, CA 92220
Phone (818) 707-7834

30885 Date Palm Dr
Cathedral City, CA 92234
Phone (760) 202-3491

1768 Mitchell Rd
Ste 308
Ceres, CA 95307
Phone (209) 538-9853

1147 Phelps Ave
Coalinga, CA 93210
Phone (209) 538-9853

1405 W Valley Blvd
Ste 100
Colton, CA 92324
Phone (909) 783-7948

2057 Compton Ave
Ste 101
Corona, CA 92881
Phone (909) 783-7948

11690 San Pablo Ave
El Cerrito, CA 94530

601 Hawaii St
El Segundo, CA 90245
Phone (310) 536-2400

4308 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-3070

560 E Herndon Ave
Fresno, CA 93720
Phone (559) 437-7304

568 E Herndon Ave
Ste 301
Fresno, CA 93720
Phone (559) 592-1025

6655 N Milburn Ave
Fresno, CA 93722
Phone (559) 277-1247

440 N 11th Ave
Hanford, CA 93230
Phone (559) 587-0105

3050 W Florida Ave
Hemet, CA 92545
Phone (909) 356-9664

14135 Main St
Ste 501
Hesperia, CA 92345
Phone (760) 947-7405

7223 Church St
Highland, CA 92346
Phone (760) 365-8706

1610 W Kettleman Ln
Ste D
Lodi, CA 95242
Phone (209) 334-9888

1245 W Pacheco Blvd
Los Banos, CA 93635
Phone (209) 827-3934

501 E Almond Ave
Madera, CA 93637
Phone (559) 664-9252

720 N I St
Madera, CA 93637
Phone (209) 205-1126

930 2nd Ave
Marina, CA 93933
Phone (209) 825-3905

3001 Health Care Way
Ste 102
Modesto, CA 95356
Phone (559) 664-9255

9142 Monte Vista Ave
Montclair, CA 91763
Phone (760) 241-8167

Practitioners & affiliated clinicians

Practitioners 93

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 93

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1972159069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10690 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 LATHAM ST STE 270",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014332",
            "telephone_number": "951-774-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE CLINICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "GEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-977-0953"
    },
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.