COMMUNITY ACCESS NETWORK (NPI# 1861035966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861035966 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACCESS NETWORK |
| Practice Address |
14294 Oakdale Dr Perris CA 92570-8419 |
| Mailing Address |
2275 S Main St Ste 201 Corona CA 92882-5303 |
| Practice Telephone | 9517890462 |
| Mailing Telephone | 9094998872 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | RAFIK WILLIAM PHILOBOS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9512793222 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| YDC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934954 | Community Access Network | Counselor | 16542 Tava Ln, Riverside, CA 92504-5833 | 2019-10-21 |
| 1124661236 | Community Access Network | Counselor | 10631 Orchard View Ln, Riverside, CA 92503-6605 | 2019-10-21 |
| 1780058628 | Community Access Network | Clinic/Center | 800 5th Street Suite A, Lynchburg, VA 24504 | 2015-11-16 |
| 1619029030 | Community Access Network | Community/Behavioral Health | 2275 South Main Street, Suite 201, Corona, CA 92882 | 2007-01-17 |
| 1518298702 | Community Access Network | Community/Behavioral Health | 600 Central Ave, Suite E1, Lake Elsinore, CA 92530-2740 | 2010-01-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY ACCESS NETWORK, INC. | 800 5th St Ste A, Lynchburg, VA 24504-2848 |
| Street Address |
14294 OAKDALE DR |
| City | PERRIS |
| State | CA |
| Zip Code | 92570-8419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
| 1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
| 1144471939 | Three Angels Medical Professional Corporation | Internal Medicine | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2008-10-10 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| 1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
| 1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
| 1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
| Find all providers in zip 92570 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539451 | Cynthia Ascencio | Counselor | 2340 Firebrand Ave, Perris, CA 92571-2697 | 2020-05-07 |
| 1518594191 | Sarai Velasquez | Counselor | 2560 N Perris Blvd Ste N-i, Perris, CA 92571-3254 | 2020-03-24 |
| 1760983431 | Desteny Lisette Soriano | Counselor | 537 Redding Way, Perris, CA 92570-4547 | 2018-02-27 |
| 1649788167 | Leslie Bautista | Counselor | 1276 Autumnwood Ln, Perris, CA 92571 | 2018-01-18 |
| 1073026308 | Christina Joanna Covarrubias | Counselor | 85 Ramona Expy Ste 1-4, Perris, CA 92571-7014 | 2017-11-08 |
| 1184076200 | Ashley Nicole Gartin | Counselor | 131 Perou St, Perris, CA 92570-2515 | 2016-07-13 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1184951022 | Michelle Alice Creed | Counselor | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2009-11-13 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| 1508041591 | Lucy You Her | Counselor | 1688 N Perris Blvd Ste L7, Perris, CA 92571-4707 | 2008-01-08 |
| Find all providers in PERRIS | ||||
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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.