COUNTY OF RIVERSIDE (NPI# 1023122454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023122454 |
| Entity Type | Organization |
| Organization Name | COUNTY OF RIVERSIDE |
| Other Organization Name | CATHEDRAL CANYON CLINIC |
| Practice Address |
68615 Perez Rd Suite 6a Cathedral City CA 92234-7200 |
| Mailing Address |
Po Box 7549 Riverside CA 92513-7549 |
| Practice Telephone | 7607702222 |
| Practice Fax Number | 7607702249 |
| Mailing Telephone | 9513586900 |
| Mailing Fax Number | 9513586905 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | MR. JERRY A. WENGERD (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Telephone | 9513584501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Cathedral Canyon Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821618588 | County of Riverside | Community/Behavioral Health | 63 S 4th St, Banning, CA 92220-4861 | 2020-04-23 |
| 1003436940 | County of Riverside | Community/Behavioral Health | 1225 W Hobsonway, Blythe, CA 92225-1423 | 2020-04-21 |
| 1457971301 | County of Riverside | Community/Behavioral Health | 65753 Pierson Blvd, Desert Hot Springs, CA 92240-3067 | 2020-04-21 |
| 1184244345 | County of Riverside | Community/Behavioral Health | 1283 6th St, Coachella, CA 92236-1707 | 2020-04-17 |
| 1386264562 | County of Riverside | Community/Behavioral Health | 517 Parkridge Ave, Norco, CA 92860-3103 | 2020-04-17 |
| 1942839816 | County of Riverside | Community/Behavioral Health | 91-275 Ave 66, Mecca, CA 92254 | 2020-04-03 |
| 1235768110 | County of Riverside | Community/Behavioral Health | 82675 Us Highway 111, Indio, CA 92201-5635 | 2020-04-03 |
| 1609408178 | County of Riverside | Pharmacy | 26600 Cactus Ave, Moreno Valley, CA 92555-3901 | 2020-02-12 |
| 1982243812 | County of Riverside | Clinic/Center | 26600 Cactus Ave Ste 300, Moreno Valley, CA 92555-3901 | 2019-12-23 |
| 1467943811 | County of Riverside | Community/Behavioral Health | 249 N Spring St, Blythe, CA 92225 | 2018-05-22 |
| Street Address |
68615 PEREZ RD SUITE 6A |
| City | CATHEDRAL CITY |
| State | CA |
| Zip Code | 92234-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992211031 | Eduardo Cabrera Gil | Peer Specialist | 68615 Perez Rd, Cathedral City, CA 92234-7200 | 2017-12-27 |
| 1578924858 | Jason Ellis | Peer Specialist | 68615 Perez Rd, Suite 6a, Cathedral City, CA 92234-7200 | 2016-03-14 |
| 1144666546 | Brief Psychotherapy and Family Counseling, A Professional Corporation | Marriage & Family Therapist | 68615 Perez Rd, Suite A, Cathedral City, CA 92234-7200 | 2013-05-13 |
| 1578712014 | Tania Jane Mccormick | Marriage & Family Therapist | 68615 Perez Rd, 6a, Cathedral City, CA 92234-7200 | 2008-09-09 |
| 1477712164 | Patricia Thomas | Community/Behavioral Health | 68615 Perez Rd, 6a, Cathedral City, CA 92234 | 2008-06-06 |
| 1861669863 | Kent L Rommereim | Counselor | 68615 Perez Rd, 6a, Cathedral City, CA 92234-7200 | 2008-05-09 |
| 1407028434 | Mariann Sandor | Counselor | 68615 Perez Rd, Suite 6a, Cathedral City, CA 92234-7200 | 2008-03-31 |
| 1235359365 | Brian Wirt Woolley | Counselor | 68615 Perez Rd, Cathedral City, CA 92234-7200 | 2007-04-30 |
| 1396968558 | Vicki Diane Johnson | Counselor | 68615 Perez Rd, Suite 2a, Cathedral City, CA 92234-7200 | 2007-04-10 |
| 1487877668 | Diane E. Ducatte | Counselor | 68615 Perez Rd, Suite 2a, Cathedral City, CA 92234-7200 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559661 | Susan Lim | Pharmacist | 68018 Vista Chino, Cathedral City, CA 92234 | 2020-05-08 |
| 1306479936 | Aragon Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 33775 Wishing Well Trl # 92234, Cathedral City, CA 92234 | 2020-02-21 |
| 1770973984 | K C Loo Dds A Dental Corp | Dentist | 68487 E. Palm Canyon Dr Bldg #1, Cathedral City, CA 92234 | 2015-01-26 |
| 1124426614 | Catherine Rodriguez | Counselor | 68100 Ramon Road, Cathedral City, CA 92234 | 2014-12-15 |
| 1760889323 | Serenity Congregate Care | Skilled Nursing Facility | 31730 Avenida Del Padre, Cathedral City, CA 92234 | 2014-11-25 |
| 1043622202 | Ruben Mendez Dds A Professional Corporation | Dentist | 68100 Ramon Rd., A 4, Cathedral City, CA 92234 | 2014-05-22 |
| 1801224670 | Stepping Stones Community Church of The Desert | Voluntary or Charitable | 216 Via Genova, Cathedral City, CA 92234 | 2013-10-14 |
| 1841576337 | Cristina Rene Jester | Case Manager/Care Coordinator | 68425 Perez Road, Suite 11, Cathedral City, CA 92234 | 2011-10-27 |
| 1356649438 | Kimberly Coppage | Case Manager/Care Coordinator | 68-625 Perez Rd, 11-a, Cathedral City, CA 92234 | 2011-03-14 |
| 1376703355 | Michael Day | Chiropractor | 465 Coyote, Cathedral City, CA 92234 | 2008-06-12 |
| Find all providers in zip 92234 | ||||
| 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 |
|---|---|---|---|---|
| 1457971095 | Mark Scott Mendelow | Community/Behavioral Health | 69326 Serenity Rd, Cathedral City, CA 92234-7919 | 2020-04-23 |
| 1669092516 | County of Riverside | Community/Behavioral Health | 68625 Perez Rd Ste 5, Cathedral City, CA 92234-7250 | 2020-04-21 |
| 1710334982 | Riverside University Health System - Behavioral Health | Community/Behavioral Health | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2016-05-18 |
| 1114372505 | Ariana Zaragoza | Community/Behavioral Health | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2016-05-04 |
| 1609221779 | Riverside University Health System - Behavioral Health | Community/Behavioral Health | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2016-04-26 |
| 1528423167 | County of Riverside | Community/Behavioral Health | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2015-12-28 |
| 1962700492 | Riverside County Dept of Mental Health | Community/Behavioral Health | 68625 Perez Rd, Suite 11, Cathedral City, CA 92234-7250 | 2011-03-08 |
| 1477712164 | Patricia Thomas | Community/Behavioral Health | 68615 Perez Rd, 6a, Cathedral City, CA 92234 | 2008-06-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CATHEDRAL CITY |
| Zip Code | 92234 |
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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.