CALIFORNIA FAMILY LIFE CENTER (NPI# 1770007320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770007320 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA FAMILY LIFE CENTER |
| Practice Address |
41431 Gibbel Rd Hemet CA 92544-9570 |
| Mailing Address |
Po Box 727 Hemet CA 92546-0727 |
| Practice Telephone | 9519290101 |
| Practice Fax Number | 9519298128 |
| Mailing Telephone | 9517656955 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Authorized Official Name | JILL MILLER (MH DIRECTOR) |
| Authorized Official Telephone | 9515447041 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
22871 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598289134 | California Family Life Center | Social Worker | 25873 Hemet St, Hemet, CA 92544-5026 | 2017-07-26 |
| 1770007312 | California Family Life Center | Social Worker | 41021 Sunset Ln, Hemet, CA 92544-7438 | 2017-07-26 |
| 1184147761 | California Family Life Center | Social Worker | 930 N State St, Hemet, CA 92543-1473 | 2017-07-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CALIFORNIA FAMILY LIFE CENTER | 930 N State St, Hemet, CA 92543-1473 |
| Street Address |
41431 GIBBEL RD |
| City | HEMET |
| State | CA |
| Zip Code | 92544-9570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144455635 | Deborah Sue Barela | Marriage & Family Therapist | 41431 Gibbel Rd, Hemet, CA 92544-9570 | 2009-05-27 |
| 1730655986 | April Trujillo | Licensed Vocational Nurse | 41431 Gibbel Rd, Hemet, CA 92544-9570 | 2018-10-15 |
| 1164902375 | Edmund J Reitz | Counselor | 41431 Gibbel Rd, Hemet, CA 92544-9570 | 2018-08-16 |
| 1851891022 | Ariana Varela | Licensed Vocational Nurse | 41431 Gibbel Rd, Hemet, CA 92544-9570 | 2018-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164408 | Felix Pelarada Olarita Jr. | Physical Therapist | 41255 Crest Drive, Hemet, CA 92544 | 2018-11-27 |
| 1124453055 | Apex Healthcare Medical Center Inc | Internal Medicine | 2390 E. Florida Ave, Suite 105, Hemet, CA 92544 | 2013-09-11 |
| 1134476062 | Renee Luhrs Macdonald | Counselor | 3990 Faure Rd, Hemet, CA 92544 | 2012-08-09 |
| 1427223916 | Mark Dwayne Dykes | Military Health Care Provider | 700 Colorado Dr, Hemet, CA 92544 | 2008-04-25 |
| 1487825691 | Jody A Balboa | Marriage & Family Therapist | 541 N. San Jacinto Ave, Hemet, CA 92544 | 2008-03-14 |
| 1528246964 | Newport Audiology Centers | Hearing Aid Equipment | 1600 East Florida Ave #312, Hemet, CA 92544 | 2008-02-07 |
| 1730212036 | Welch's Shoe Repair | Prosthetic/Orthotic Supplier | 41819 E Florida Ave, Hemet, CA 92544 | 2007-03-14 |
| 1679635221 | Angela Kay Williams | Psychiatry & Neurology | 39990 Faure Rd, Hemet, CA 92544 | 2006-12-13 |
| 1548238702 | Devonshire Care Center, LLC | Skilled Nursing Facility | 1350 E Devonshire Ave, Hemet, CA 92544 | 2006-03-14 |
| 1669755153 | Amir Rahnavard | Internal Medicine | 1600 E Florida Ave Ste 103, Hemet, CA 92544 | 2011-09-21 |
| Find all providers in zip 92544 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598289134 | California Family Life Center | Social Worker | 25873 Hemet St, Hemet, CA 92544-5026 | 2017-07-26 |
| 1770007312 | California Family Life Center | Social Worker | 41021 Sunset Ln, Hemet, CA 92544-7438 | 2017-07-26 |
| 1184147761 | California Family Life Center | Social Worker | 930 N State St, Hemet, CA 92543-1473 | 2017-07-25 |
| 1770831042 | Sydney Farid Lay | Social Worker | 3991 Wild Sienna Trl, Hemet, CA 92545-6395 | 2012-08-17 |
| 1205104551 | Jennifer N Rugala Persicone | Social Worker | 1300 W Florida Ave Ste C, Hemet, CA 92543-4628 | 2011-12-01 |
| 1467653980 | Lorri Y Sullivan | Social Worker | 540 North San Jacinto St, In Care of Oluwafemi Adeyemo Md Suite C, Hemet, CA 92543 | 2007-05-31 |
| 1336187210 | Tobias Dieter Desjardins | Social Worker | 132 S Thompson St, Hemet, CA 92543-4351 | 2006-06-03 |
| 1447237896 | James Gordon Orrell | Social Worker | 372 N San Jacinto St, Hemet, CA 92543-3110 | 2005-12-28 |
| 1386254449 | Meelynda Rayford | Social Worker | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2020-08-04 |
| 1881049963 | Jamie Stallings | Social Worker | 541 N San Jacinto St, Hemet, CA 92543-3107 | 2016-04-26 |
| Find all providers in HEMET | ||||
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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.