Rio Hondo Mental Health Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

22340 Issued in CA

Legal business name

RIO HONDO MENTAL HEALTH CLINIC

Practice address

17707 Studebaker Rd
Cerritos, CA 90703-2640

Phone

(562) 402-0688

Fax

(562) 402-3032

NPI assigned

Sep 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juana Gonzalez, LCSWNPI 1255580551

Title

SP SW

Phone

(562) 402-0688

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juana Gonzalez, LCSW

  • Clinical Social Worker
  • Cerritos, CA
  • NPI 1255580551
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1023266210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17707 STUDEBAKER RD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032640",
            "telephone_number": "562-402-0688",
            "fax_number": "562-402-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17707 STUDEBAKER RD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032640",
            "telephone_number": "562-402-0688",
            "fax_number": "562-402-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO HONDO MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "SP SW",
        "authorized_official_telephone_number": "562-402-0688",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "22340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hector Rico Jr.
• Andrew James Riese
• Michael Rigas, PHARM.D.
• Mayeli Rincon
• Rio Hondo Mental Health Center
• Rio Hondo Mental Health Clinic
• Jose Rios
• Lorena Rivas-Lopez, LMFT
• Damian Rivas
• Giselle Rivas, INTERN

• Community/Behavioral Health Agency in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.