COUNTY OF RIVERSIDE (NPI# 1114452760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114452760 |
| Entity Type | Organization |
| Organization Name | COUNTY OF RIVERSIDE |
| Other Organization Name | MORENO VALLEY SAPT |
| Practice Address |
23119 Cottonwood Ave Ste A100 Moreno Valley CA 92553-9661 |
| Mailing Address |
4095 County Circle Dr Riverside CA 92503-3410 |
| Practice Telephone | 9519553306 |
| Mailing Telephone | 9513586900 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | STEVE STEINBERG (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Telephone | 9513584500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITY | 00033 | 01 |
| Other Name | Type Code |
|---|---|
| Moreno Valley SAPT | 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 |
23119 COTTONWOOD AVE STE A100 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-9661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497898498 | Guadalupe Madrigal | Counselor | 23119 Cottonwood Ave Ste A100, Moreno Valley, CA 92553-9661 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| 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 |
|---|---|---|---|---|
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1083066781 | Tyl Mental Health In Home Services | Community/Behavioral Health | 13800 Heacock St Ste 116, 19355 Redrock St Perris,ca 92570, Moreno Valley, CA 92553-8810 | 2016-07-06 |
| 1619366952 | Humanistic Counseling Center Inc. | Community/Behavioral Health | 12016 Vista De Cerros Dr, Moreno Valley, CA 92555-1813 | 2015-01-09 |
| 1629490198 | Riverside County Mental Health | Community/Behavioral Health | 13300 Sunfield Dr, Moreno Valley, CA 92553-3259 | 2014-01-17 |
| 1255766101 | Moreno Valley Children's Interagency Program | Community/Behavioral Health | 23119 Cottonwood Ave Ste 110, Moreno Valley, CA 92553-9661 | 2013-09-11 |
| 1013218643 | Catholic Charities San Bernardino/riverside | Community/Behavioral Health | 23623 Sunnymead Blvd, Suite E, Moreno Valley, CA 92553-3083 | 2010-11-12 |
| 1013154921 | Humanistic Counseling Center, Inc. | Community/Behavioral Health | 12981 Perris Blvd Ste 107, Moreno Valley, CA 92553-4108 | 2009-01-14 |
| 1225658198 | County of Riverside | Community/Behavioral Health | 12625 Heacock St, Moreno Valley, CA 92553-0538 | 2020-04-21 |
| 1821623018 | Applied Behavior Autism Center LLC | Community/Behavioral Health | 24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529 | 2020-03-08 |
| 1174035430 | All of God's Children's Group Home | Community/Behavioral Health | 29019 Carillo Ct, Moreno Valley, CA 92555-6501 | 2017-10-26 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on COUNTY OF RIVERSIDE.
| 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.