Active NPI
Nightingale Clinical Care, PC
- Primary Care Clinic/Center
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
- 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
- Amy Gen
- Title
- Owner
- Phone
- (559) 977-0953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations (25 of 42)
902 Bear Mountain Blvd
Arvin, CA 93203
Phone (209) 543-1720
8331 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 631-0227
422 Oak St
Bakersfield, CA 93304
Phone (661) 325-4741
8501 Brimhall Rd
Ste 500
Bakersfield, CA 93312
Phone (209) 358-7681
2057 Compton Ave
Ste 101
Corona, CA 92881
Phone (909) 783-7948
405 Dover Pkwy
Delano, CA 93215
Phone (559) 934-0690
510 E North Way
Dinuba, CA 93618
Phone (209) 473-2294
11690 San Pablo Ave
El Cerrito, CA 94530
1116 W Visalia Rd
Ste 106
Exeter, CA 93221
Phone (559) 592-1025
560 E Herndon Ave
Fresno, CA 93720
Phone (559) 437-7304
568 E Herndon Ave
Ste 301
Fresno, CA 93720
Phone (559) 592-1025
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
3393 G St
Ste B
Merced, CA 95340
Phone (209) 385-1479
9142 Monte Vista Ave
Montclair, CA 91763
Phone (760) 241-8167
27602 Clinton Keith Rd
Bldg F
Murrieta, CA 92562
Phone (909) 887-0173
2403 S Vineyard Ave
Ste D
Ontario, CA 91761
Phone (909) 923-3850
78030 Wildcat Dr
Ste 101
Palm Desert, CA 92211
Phone (908) 845-4494
1061 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 325-0909
320 James Way
Ste 100
Pismo Beach, CA 93449
Phone (209) 827-3973
8219 Rochester Ave
Rancho Cucamonga, CA 91730
Phone (760) 325-0909
4361 Latham St
Ste 270
Riverside, CA 92501
Phone (303) 876-2930
Practitioners & affiliated clinicians
Practitioners 92
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fairfield, CA
- NPI 1164639225
CA
-
- Adult Health Nurse Practitioner
- Salinas, CA
- NPI 1336724715
CA, Single Specialty
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.