Healthcare Provider Details

I. General information

NPI: 1922920370
Provider Name (Legal Business Name): RAINCROSS CHIROPRACTIC, ERIC M. CUSTODE, DC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3731 TIBBETTS ST STE 7
RIVERSIDE CA
92506-2604
US

IV. Provider business mailing address

3731 TIBBETTS ST STE 7
RIVERSIDE CA
92506-2604
US

V. Phone/Fax

Practice location:
  • Phone: 951-782-8700
  • Fax: 951-782-9988
Mailing address:
  • Phone: 951-782-8700
  • Fax: 951-782-9988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ERIC CUSTODE
Title or Position: PRESIDENT/CEO
Credential: DC
Phone: 951-782-8700