NPIMap

Riverside Medical Clinic, Inc

Organization Active NPI Internal Medicine Physician · Riverside, CA

NPI 1982013884 · NPPES record last updated Jun 27, 2025

Key facts

NPI
1982013884
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
RIVERSIDE MEDICAL CLINIC, INC
Practice address
19314 Jesse LN
Suite 100
Riverside, CA 92508-5069
Phone
(951) 683-6370
Fax
(951) 248-6708
NPI assigned
Aug 5, 2014
Organization subpart
No

Authorized official

Name
Dr. Anupam Gupta, MD
Title
Medical Director
Phone
(951) 683-6370

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040517000880 CA Part B Supplier - Clinic/Group Practice 2961492327 Receives reassigned benefits from 356 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Riverside, CA; Murrieta, CA; Eastvale, CA

National Provider Directory

Tax ID family
Riverside Medical Clini (8 organizations share this tax ID)

Locations

19314 Jesse Ln
Ste 100
Riverside, CA 92508
Phone (951) 776-4503

6405 Day St
Riverside, CA 92507
Phone (909) 683-6370

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208800000X

Addresses

Primary practice location

19314 Jesse LN
Suite 100
Riverside, CA 92508-5069

Mailing address

3660 Arlington Ave
Riverside, CA 92506-3987
Phone (951) 683-6370

Other names

  • Riverside Medical Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 27, 2025.

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1982013884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063987",
            "telephone_number": "951-683-6370",
            "fax_number": "951-248-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19314 JESSE LN",
            "address_2": "SUITE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085069",
            "telephone_number": "951-683-6370",
            "fax_number": "951-248-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ANUPAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-683-6370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

All providers in Riverside, CA · Internal Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.