California Baptist University
Clinic/Center, Student Health in Riverside, CA. Organization (NPI-2).
NPI number1184909947
StatusActive
Last updated in NPPESMay 21, 2020
Details
- NPI
- 1184909947
- Entity type
- Organization (NPI-2)
- Legal business name
- California Baptist University
- Organization subpart
- No
- Enumeration date
- Oct 12, 2011
- Certification date
- May 21, 2020
- Last updated
- May 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1000X | Clinic/Center, Student Health | – | – | Yes |
Practice location
2900 Adams St Ste C10Riverside, CA 92504-7915
Phone 951-552-8137
Mailing address
2900 Adams St Ste C10Riverside, CA 92504-7915
Phone 423-316-2305
Authorized official
Timothy A Sisemore
Clinic Director
9515528137
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Student Health Clinic/Center providers in Riverside · All 16,640 providers in Riverside
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