Active NPI
Leticia Brooks, CHHA
- Home Health Aide
- Riverside, CA
National Provider Identifier
1033258702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 00031191
- Practice address
- 1700 Iowa Ave
Suite 230
Riverside, CA 92507-2420 - Phone
- (951) 369-8604
- Fax
- (951) 715-4594
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 00031191 | CA | Primary |
Addresses
Primary practice location
1700 Iowa Ave
Suite 230
Riverside, CA 92507-2420
Mailing address
2686 W Mill St
Space 36
San Bernardino, CA 92410-2060
Phone (909) 384-1748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00031191 | CA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033258702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2686 W MILL ST",
"address_2": "SPACE 36",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924102060",
"telephone_number": "909-384-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 IOWA AVE",
"address_2": "SUITE 230",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072420",
"telephone_number": "951-369-8604",
"fax_number": "951-715-4594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "LETICIA",
"credential": "CHHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "CA",
"license": "00031191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.