RIVERSIDE LATINO COMMISSION ON ALCOHOL & DRUG ABUSE SERVICES, INC. (NPI# 1013449578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013449578 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE LATINO COMMISSION ON ALCOHOL & DRUG ABUSE SERVICES, INC. |
| Practice Address |
1612 1st St Coachella CA 92236-1407 |
| Practice Telephone | 7603989000 |
| Practice Fax Number | 7603989790 |
| Mailing Telephone | 7603989000 |
| Mailing Fax Number | 7603989790 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | MR. ROBERT JONES (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7603989000 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851864060 | Riverside Latino Commission On Alcohol & Drug Abuse Services, Inc. | Clinic/Center | 91275 66th Avenue, Suite 100, Mecca, CA 92254 | 2019-01-10 |
| Street Address |
1612 1ST ST |
| City | COACHELLA |
| State | CA |
| Zip Code | 92236-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992997001 | Jossye Karin Trivino-cook | Counselor | 1612 1st St, Coachella, CA 92236 | 2007-08-13 |
| 1558987529 | Marlene N Mora-lopez | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2020-06-24 |
| 1639658743 | Erika Miramontes | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2018-08-09 |
| 1982181921 | Carla Catherine Flores | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2018-07-23 |
| 1588154538 | Martha D Pajarito | Marriage & Family Therapist | 1612 1st St, Coachella, CA 92236-1407 | 2018-05-15 |
| 1336639350 | Blanca Salome Maldonado | Marriage & Family Therapist | 1612 1st St, Coachella, CA 92236-1407 | 2018-05-15 |
| 1114441599 | Jennelle Marie Langrill | Marriage & Family Therapist | 1612 1st St, Coachella, CA 92236-1407 | 2017-07-27 |
| 1497286801 | Paula Stephanie Henry | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2017-03-27 |
| 1871024216 | Heather Basye | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2017-03-27 |
| 1760921985 | Rebeca Segovia | Marriage & Family Therapist | 1612 1st St, Coachella, CA 92236-1407 | 2017-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518915 | Phong Phan | Pharmacist | 84 010 Avenue 50, Coachella, CA 92236 | 2020-01-28 |
| 1518511500 | Sally Mireles | Counselor | 84109 La Jolla, Coachella, CA 92236 | 2019-07-29 |
| 1174185318 | Laura Castillo-dominguez | Licensed Vocational Nurse | 83113 Los Cabos Ave, Coachella, CA 92236 | 2019-07-08 |
| 1003390519 | Jennifer Le | Registered Nurse | 49-111 Ca-111 #6a, Coachella, CA 92236 | 2018-09-20 |
| 1700302502 | Latino Commission On Alcohol and Drug Abuse Services | Marriage & Family Therapist | 1612 First St., Coachella, CA 92236 | 2017-08-14 |
| 1467993279 | Jose Ramon Ledezma | Prosthetic/Orthotic Supplier | 84475 Goya Dr, Coachella, CA 92236 | 2017-03-13 |
| 1144622432 | Telecare Corporation | Psychiatric Unit | 49-708 Redondo Poniente, Coachella, CA 92236 | 2014-09-18 |
| 1851708762 | Juanita Ferro | Psychiatric Unit | 52371 Dos Palmas, Coachella, CA 92236 | 2014-07-14 |
| 1932519964 | Gloria Graham | Family Medicine | 50249 Harrison St, Coachella, CA 92236 | 2014-04-29 |
| 1326489121 | Alma Elizabeth Guadarrama Hernandez | Social Worker | 49211 Grapefruit Blvd Ste 5&6, Coachella, CA 92236 | 2013-07-10 |
| Find all providers in zip 92236 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184244345 | County of Riverside | Community/Behavioral Health | 1283 6th St, Coachella, CA 92236-1707 | 2020-04-17 |
| 1295225712 | Oasis Behavioral Health, Inc. | Community/Behavioral Health | 49211 Grapefruit Blvd., Suite 5 & 6, Coachella, CA 92236-1480 | 2018-05-10 |
| 1851840532 | Riverside Latino Commission | Community/Behavioral Health | 1612 First Street, Coachella, CA 92236 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.