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NPI Code Detail

MEDICARE: COUNTY OF RIVERSIDE

MEDICARE: COUNTY OF RIVERSIDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1306796438
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF RIVERSIDE
Provider Business Mailing Address
First Line : 26600 CACTUS AVE STE 300
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92555-3901
Country : US
Telephone Number : 951-988-9500
Fax Number :
Provider Business Practice Location Address
First Line : 26600 CACTUS AVE STE 300
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92555-3901
Country : US
Telephone Number : 951-988-9500
Fax Number :
Authorized Official
Title or Position : CEO
Name : JENNIFER LYNN CRUIKSHANK
Credential :
Telephone Number : 951-486-4135
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “COUNTY OF RIVERSIDE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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