COUNTY OF RIVERSIDE – NPI #1780549014
Clinic/Center

COUNTY OF RIVERSIDE is an AHC clinic located in CORONA, CA. NPPES has assigned the NPI number 1780549014 to COUNTY OF RIVERSIDE on December 18, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. 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)

The NPI profile was last updated on Mar 25, 2026. 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 COUNTY OF RIVERSIDE below.

NPI Profile for
COUNTY OF RIVERSIDE

NPI Number
1780549014
Enumeration Date

(about 6 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
COUNTY OF RIVERSIDE
Other name(s)
All associated names:
Other Name
Centennial CHC
Other Name
Centennial Community Health Center
Primary location
1820 FULLERTON AVE STE 300
CORONA, CA 92881-3106
Phone: (951) 358-5222 Fax:
Mailing address
7888 MISSION GROVE PKWY S STE 120
RIVERSIDE, CA 92508-5064
Phone: Fax:
Organization Subpart
Yes - COUNTY OF RIVERSIDE is subpart of another organization.
Authorized Official
JENNIFER CRUIKSHANK
CEO
Phone: (951) 486-4458
Updated
Certification Date
Mar 25, 2026

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.