RIVERSIDE PRIMARY CARE DOCTORS-INC NPI 1831812072

NPI Information

  • NPI: 1831812072
  • Provider Name: RIVERSIDE PRIMARY CARE DOCTORS-INC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 05D2278401
  • Address: 9041 MAGNOLIA AVE STE 6
    RIVERSIDE, CA
    ZIP 92503
  • Phone: (951) 224-6000

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NPI Details

RIVERSIDE PRIMARY CARE DOCTORS-INC is an adult medicine family medicine in Riverside, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. RIVERSIDE PRIMARY CARE DOCTORS-INC NPI is 1831812072. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9041 MAGNOLIA AVE STE 6
RIVERSIDE, CA
ZIP 92503-941
Phone: (951) 224-6000
Fax: (951) 228-0206

The provider's authorized official is Fady Fayad .
The authorized official title is Ceo/owner and has the following contact phone number (951) 224-6000.

The CLIA number assigned to this NPI record is 05D2278401 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2022 and was last updated on 9/22/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C172881OTHERCALIFORNIACA

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: 11/21/2025

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