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ARTHRITIS CENTER OF RIVERSIDE MEDICAL CORP NPI 1922478908


NPI Information

NPI: 1922478908
Provider Name: ARTHRITIS CENTER OF RIVERSIDE MEDICAL CORP

Former Legal Business Name: ARTHRITIS CENTER OF RIVERSIDE

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0575313

Address:
11725 SLATE AVE
SUITE 100
RIVERSIDE, CA
ZIP 92505
Phone: (951) 352-1700
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ARTHRITIS CENTER OF RIVERSIDE MEDICAL CORP is a specialist in Riverside, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ARTHRITIS CENTER OF RIVERSIDE MEDICAL CORP NPI is 1922478908. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Arthritis Center Of Riverside.

The provider's business location address is:

11725 SLATE AVE
SUITE 100
RIVERSIDE, CA
ZIP 92505-100
Phone: (951) 352-1700
Fax: (951) 352-9117

The provider's authorized official is Jessica Henderson .
The authorized official title is Billing Manager and has the following contact phone number (951) 352-1700.

The CLIA number assigned to this NPI record is 05D0575313 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/2/2015 and was last updated on 10/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA35128CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A131993MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
2A35128MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.