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NPI Code Detail

MEDICARE: JAVIER R RIOS MD

MEDICARE: JAVIER R RIOS MD
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
1207Q00000XFamily Medicine PhysicianA53521CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639246176
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAVIER R RIOS MD
Provider Business Mailing Address
First Line : 495 E RINCON ST STE 215
Second Line :
City : CORONA
State : CA
Zip : 92879-1378
Country : US
Telephone Number : 951-523-0117
Fax Number : 951-394-0685
Provider Business Practice Location Address
First Line : 9939 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3528
Country : US
Telephone Number : 855-505-7467
Fax Number : 888-975-8926
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 04/02/2026

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