BROCKTON MEDICAL CLINIC – NPI #1710590971
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BROCKTON MEDICAL CLINIC is a provider located in RIVERSIDE, CA. NPPES has assigned the NPI number 1710590971 to BROCKTON MEDICAL CLINIC on August 27, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BROCKTON MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is JAVIER R RIOS MD, A PROFESSIONAL CORPORATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Jun 06, 2022. 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 BROCKTON MEDICAL CLINIC below.

NPI Profile for
JAVIER R RIOS MD, A PROFESSIONAL CORPORATION

NPI Number
1710590971
Enumeration Date

(about 6 years 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
JAVIER R RIOS MD, A PROFESSIONAL CORPORATION
Doing Business As (dba): BROCKTON MEDICAL CLINIC
Primary location
6926 BROCKTON AVE STE 7
RIVERSIDE, CA 92506-3804
Phone: (855) 505-7467 Fax: (888) 975-8926
Mailing address
495 E RINCON ST STE 215
CORONA, CA 92879-1378
Phone: (951) 523-0117 Fax: (951) 475-7013
Organization Subpart
No
Authorized Official
JAVIER RIOS
OWNER / MEDICAL DIRECTOR
Phone: (951) 354-3221
Updated
Certification Date
Jun 06, 2022

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
207Q00000X
- Family Medicine (Primary)
208000000X
- Pediatrics
207V00000X
- Obstetrics & Gynecology
207R00000X
- Internal Medicine

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.