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
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 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.

View all 92

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.