RIVERSIDE, COUNTY OF – NPI #1073497541
Clinic/Center

RIVERSIDE, COUNTY OF is an AHC clinic located in PERRIS, CA. NPPES has assigned the NPI number 1073497541 to RIVERSIDE, COUNTY OF on August 05, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVERSIDE, COUNTY OF below.

NPI Profile for
RIVERSIDE, COUNTY OF

NPI Number
1073497541
Enumeration Date

(about 10 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVERSIDE, COUNTY OF
Primary location
20545 HARVILL AVENUE
PERRIS, CA 92570
Phone: (951) 358-5222 Fax:
Mailing address
7888 MISSION GROVE PKWY S STE 120
RIVERSIDE, CA 92508-5064
Phone: Fax:
Organization Subpart
No
Authorized Official
JENNIFER CRUIKSHANK
CEO
Phone: (951) 486-4450
Updated
Certification Date
Jul 31, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.