COUNTY OF RIVERSIDE (NPI# 1417328089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417328089 |
| Entity Type | Organization |
| Organization Name | COUNTY OF RIVERSIDE |
| Other Organization Name | NEW LIFE SU - PERRIS PROBATION |
| Practice Address |
2560 N Perris Blvd Ste N1 Perris CA 92571-3251 |
| Mailing Address |
4095 County Circle Dr Riverside CA 92503-3410 |
| Practice Telephone | 9519551503 |
| Mailing Telephone | 9513586900 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | JERRY WENGERD (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 |
|---|---|
| New Life SU - Perris Probation | 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 |
2560 N PERRIS BLVD STE N1 |
| City | PERRIS |
| State | CA |
| Zip Code | 92571-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871964445 | County of Riverside | Community/Behavioral Health | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2015-10-08 |
| 1841839222 | Miriam J Dalton | Peer Specialist | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2020-01-02 |
| 1568928901 | Robert Cruz Mendoza II | Counselor | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2019-02-11 |
| 1053800698 | Valeria Cervantes | Peer Specialist | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2018-05-09 |
| 1457851545 | Elizabeth Serna Villegas | Peer Specialist | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2018-02-15 |
| 1992217558 | County of Riverisde | Community/Behavioral Health | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2017-11-03 |
| 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 | 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 |
|---|---|---|---|---|
| 1689186652 | Operation Safehouse | Community/Behavioral Health | 3043 Saffron Ct, Perris, CA 92571-3778 | 2017-10-31 |
| 1992244644 | Gaby Rincon Jeronimo | Community/Behavioral Health | 3391 Buffalo Rd, Perris, CA 92570-5571 | 2017-02-14 |
| 1871964445 | County of Riverside | Community/Behavioral Health | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2015-10-08 |
| 1427454339 | County of Riverside | Community/Behavioral Health | 1688 N Perris Blvd Ste L4, Perris, CA 92571-4701 | 2014-11-05 |
| 1508275363 | County of Riverside | Community/Behavioral Health | 1688 N Perris Blvd # L1-l2, Perris, CA 92571-4709 | 2014-08-06 |
| 1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
| 1699042192 | Mfi Perris Family Resource Center | Community/Behavioral Health | 371 Wilkerson Ave, L, Perris, CA 92570-2241 | 2011-11-28 |
| 1184871964 | Lloyd Howard Albano | Community/Behavioral Health | 1688 N Perris Bl L7, Perris, CA 92571-4709 | 2008-08-22 |
| 1720148257 | County of Riverside | Community/Behavioral Health | 308 E San Jacinto Ave, Perris, CA 92570-2878 | 2006-12-12 |
| 1649384041 | County of Riverside | Community/Behavioral Health | 450 E San Jacinto Ave, Perris, CA 92571-2833 | 2006-08-19 |
| Find all providers in PERRIS | ||||
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.