RIVERSIDE RECOVERY RESOURCES (NPI# 1023343167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023343167 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RECOVERY RESOURCES |
| Other Organization Name | OMEGA / BETA PROGRAM |
| Practice Address |
2055 N Perris Blvd Ste G Perris CA 92571-2509 |
| Mailing Address |
Po Box 549 Lake Elsinore CA 92531-0549 |
| Practice Telephone | 9519406061 |
| Practice Fax Number | 9516745227 |
| Mailing Telephone | 9512945882 |
| Mailing Fax Number | 9512945806 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2012-08-02 |
| Authorized Official Name | R KEITH SIMPSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9512945882 |
| Authorized Official Credential | DO DPH |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE RECOVERY RESOURCES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
330009PN | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Omega / Beta Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073850152 | Riverside Recovery Resources | Clinic/Center | 175 E Nuevo Rd, Perris, CA 92571-2910 | 2013-01-10 |
| 1063758365 | Riverside Recovery Resources | Clinic/Center | 4250 Opal St, Jurupa Valley, CA 92509-7251 | 2012-12-14 |
| 1972849271 | Riverside Recovery Resources | Clinic/Center | 4355 Camino Real, Jurupa Valley, CA 92509-3455 | 2012-12-14 |
| 1316283799 | Riverside Recovery Resources | Clinic/Center | 1990 S A St, Pinacate Middle School, Perris, CA 92570-4507 | 2012-12-12 |
| 1528304979 | Riverside Recovery Resources | Clinic/Center | 831 E Devonshire Ave, Alessandro High School, Hemet, CA 92543-3052 | 2012-12-12 |
| 1124377098 | Riverside Recovery Resources | Clinic/Center | 26400 Dartmouth St, Hemet Academy, Hemet, CA 92544-6302 | 2012-09-06 |
| 1467727883 | Riverside Recovery Resources | Clinic/Center | 47336 Oasis St, Rcoe Indio, Indio, CA 92201-6946 | 2012-03-19 |
| 1437424843 | Riverside Recovery Resources | Clinic/Center | 13730 Perris Blvd, Rcoe Military Academy, Moreno Valley, CA 92553-4302 | 2012-03-19 |
| 1922373331 | Riverside Recovery Resources | Clinic/Center | 5656 Mission Blvd, Jarupa Valley Youth Oppertunity Center, Riverside, CA 92509-4404 | 2012-03-19 |
| 1265707665 | Riverside Recovery Resources | Clinic/Center | 26866 San Jacinto St, Rcoe Hemet, Hemet, CA 92543-7293 | 2012-03-19 |
| Street Address |
2055 N PERRIS BLVD STE G |
| City | PERRIS |
| State | CA |
| Zip Code | 92571-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063788537 | Sarah Alvarado | Counselor | 2055 N Perris Blvd Ste G, Perris, CA 92571-2509 | 2012-03-28 |
| 1548535321 | Dennika Wines | Counselor | 2055 N Perris Blvd Ste G, Perris, CA 92571-2509 | 2012-03-13 |
| 1326312034 | Rodrigo Diaz | Counselor | 2055 N Perris Blvd Ste G, Perris, CA 92571-2509 | 2012-02-27 |
| 1225301310 | Monique Zamora | Counselor | 2055 N Perris Blvd Ste G, Perris, CA 92571-2509 | 2012-02-20 |
| 1548533201 | Almond Brewer | Counselor | 2055 N Perris Blvd Ste G, Perris, CA 92571-2509 | 2012-02-10 |
| 1407129166 | Patricia Pedregon | Counselor | 2055 N Perris Blvd Ste G, Perris, CA 92571-2509 | 2012-02-10 |
| 1891066148 | Nicole Gomez | Counselor | 2055 N Perris Blvd Ste G, Perris, CA 92571-2509 | 2012-01-18 |
| 1992076236 | Isreal Sanchez | Counselor | 2055 N Perris Blvd Ste G, Perris, CA 92571-2509 | 2012-01-18 |
| 1083985329 | Ana Haro | Counselor | 2055 N Perris Blvd Ste G, Perris, CA 92571-2509 | 2012-01-18 |
| 1205119955 | Sandra Benitez Rosalas | Counselor | 2055 N Perris Blvd Ste G, Perris, CA 92571-2509 | 2011-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199422 | Pico De Loro, Incorporated | Assisted Living Facility | 620 North Perris Boulevard, Perris, CA 92571 | 2019-08-14 |
| 1053802579 | Kadiatou Dafney | Nurse Practitioner | 126 Avocado Ave Ste 106, Perris, CA 92571 | 2018-05-21 |
| 1730677014 | Ruth Gasselle Rodriguez | Nutritionist | 1020 Huntington Way, Perris, CA 92571 | 2018-04-23 |
| 1649788167 | Leslie Bautista | Counselor | 1276 Autumnwood Ln, Perris, CA 92571 | 2018-01-18 |
| 1588180459 | Eduardo Orozco-zavala | Licensed Vocational Nurse | 85 Ramona Expressway, Suite 1, Perris, CA 92571 | 2017-08-22 |
| 1396267365 | National Vision, Inc. | Technician/Technologist | 1850 N Perris Boulevard, Suite 40, Perris, CA 92571 | 2017-07-12 |
| 1336669506 | Gary Huang | Optometrist | 1850 N Perris Boulevard Ste 40, Perris, CA 92571 | 2017-06-20 |
| 1750814745 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 106 Worth St, Perris, CA 92571 | 2017-04-06 |
| 1013456235 | Sohal and Pham Dental Corporation | Dentist | 1820 Perris Blvd, Suite 70, Perris, CA 92571 | 2017-02-21 |
| 1093267569 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 2464 Slew of Gold Ct, Perris, CA 92571 | 2016-10-31 |
| Find all providers in zip 92571 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073850152 | Riverside Recovery Resources | Clinic/Center | 175 E Nuevo Rd, Perris, CA 92571-2910 | 2013-01-10 |
| 1316283799 | Riverside Recovery Resources | Clinic/Center | 1990 S A St, Pinacate Middle School, Perris, CA 92570-4507 | 2012-12-12 |
| 1861770018 | Riverside Recovery Resources | Clinic/Center | 972 Morgan St, Perris, CA 92571-3103 | 2011-07-21 |
| 1083902829 | Riverside Recovery Resources | Clinic/Center | 418 E. Ellis Ave, Perris Lake Continuation Hs, Perris, CA 92571 | 2011-07-14 |
| 1043507916 | Riverside Recovery Resources | Clinic/Center | 3010 Webster Ave, Riverside County Probation School, Perris, CA 92571-3168 | 2011-06-29 |
| 1073837779 | Riverside Recovery Resources | Clinic/Center | 515 E 7th St, Perris, CA 92570-2464 | 2010-03-24 |
| 1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
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|---|---|---|---|---|
| 1609476845 | Vanity Wellness Center Incorporated | Clinic/Center | 19935 Ventura Blvd Fl 1, Woodland Hills, CA 91364-9605 | 2020-10-27 |
| 1184230328 | Recovery & Resilience Centers | Clinic/Center | 1665 Creekside Dr Ste 100, Folsom, CA 95630-3538 | 2020-09-22 |
| 1518573526 | A Ka Center, LLC | Clinic/Center | 4715 Divine Way, La Mesa, CA 91941-6832 | 2020-09-16 |
| 1821602186 | New Bridge Foundation, Inc. | Clinic/Center | 1777 Leroy Avenue, Berkeley, CA 94709-1156 | 2020-09-03 |
| 1942814793 | Ola Wellness Retreat, LLC | Clinic/Center | 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 | 2020-08-31 |
| 1336752963 | Ola Wellness Retreat, LLC | Clinic/Center | 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 | 2020-08-24 |
| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
| 1255941597 | Pathways Recovery | Clinic/Center | 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 | 2020-08-02 |
| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.