COUNTY OF RIVERSIDE (NPI# 1710361688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710361688 |
| Entity Type | Organization |
| Organization Name | COUNTY OF RIVERSIDE |
| Other Organization Name | TEMECULA SU DAY REPORTING CENTER |
| Practice Address |
41002 County Center Dr Ste. A Temecula CA 92591-6051 |
| Mailing Address |
4095 County Circle Dr Riverside CA 92503-3410 |
| Practice Telephone | 9519551503 |
| Mailing Telephone | 9513586900 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| 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 |
|---|---|
| Temecula SU Day Reporting Center | 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 |
41002 COUNTY CENTER DR STE. A |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-6051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891720603 | Christina Schmidt | Pediatrics | 41002 County Center Dr, Temecula, CA 92591-6027 | 2006-07-11 |
| 1972128981 | Ashley Servin | Marriage & Family Therapist | 41002 County Center Dr, Temecula, CA 92591-6051 | 2020-06-15 |
| 1760932354 | County of Riverside | Community/Behavioral Health | 41002 County Center Dr, Ste#320, Temecula, CA 92591-6051 | 2016-10-07 |
| 1366990723 | Denise Wharton | Counselor | 41002 County Center Dr, Ste 320, Temecula, CA 92591-6051 | 2016-09-14 |
| 1508311259 | Lawrence Bruce Waterman | Counselor | 41002 County Center Dr, 320, Temecula, CA 92591-6051 | 2016-08-23 |
| 1598120297 | Janet Okyerewaah Koomson | Licensed Vocational Nurse | 41002 County Center Dr, Temecula, CA 92591-6051 | 2015-12-22 |
| 1104298405 | Delia Juarez Garcia | Community Health Worker | 41002 County Center Dr, Temecula, CA 92591-6051 | 2015-10-26 |
| 1801270772 | County of Riverside | Community/Behavioral Health | 41002 County Center Dr, Ste. A, Temecula, CA 92591-6051 | 2015-07-10 |
| 1649659186 | Mariam Tahiry | Marriage & Family Therapist | 41002 County Center Dr, Suite 320, Temecula, CA 92591-6051 | 2015-05-28 |
| 1184046435 | Gary Hile | Counselor | 41002 County Center Dr, 320, Temecula, CA 92591-6051 | 2014-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| 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 |
|---|---|---|---|---|
| 1548727464 | Southern California Addiction Center | Community/Behavioral Health | 35200 Linda Rosea Rd, Temecula, CA 92592-9531 | 2019-02-27 |
| 1275018251 | Maxim Healthcare Services, Inc. | Community/Behavioral Health | 1 Ridgegate Dr Ste 130, Temecula, CA 92590-5505 | 2018-09-26 |
| 1205344744 | Capstone Christian Family Counseling Professional Corporation | Community/Behavioral Health | 27393 Ynez Rd Ste 264, Temecula, CA 92591-4610 | 2018-01-18 |
| 1881102879 | Sarah Christeen Johnson | Community/Behavioral Health | 41770 Margarita Rd Apt 1085, Temecula, CA 92591-1962 | 2018-01-12 |
| 1306385869 | Stephanie Dewante | Community/Behavioral Health | 30070 Rancho California Rd Apt 217, Temecula, CA 92591-2967 | 2017-02-16 |
| 1063883635 | County of Riverside | Community/Behavioral Health | 41002 County Center Dr Ste A, Temecula, CA 92591-6051 | 2015-10-08 |
| 1861871485 | Whitson Family Counseling Services, Inc. | Community/Behavioral Health | 31805 Temecula Pkwy # 154, Temecula, CA 92592-8203 | 2015-05-28 |
| 1356616080 | Mfi Recovery Center | Community/Behavioral Health | 27215 Nicolas Rd, Temecula, CA 92591-7348 | 2012-03-13 |
| 1609141332 | Mfi Recovery Center | Community/Behavioral Health | 32225 Pio Pico Rd, Temecula, CA 92592-2772 | 2012-03-13 |
| 1245553700 | Riverside County Substance Abuse Program | Community/Behavioral Health | 41002 County Center Dr., Temecula, CA 92591 | 2010-03-11 |
| Find all providers in TEMECULA | ||||
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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.