Riverside County Black Chamber Health and Wellness Foundation Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

RIVERSIDE COUNTY BLACK CHAMBER HEALTH AND WELLNESS FOUNDATION INC.

Doing business as

Riverside County Black Chamber of Commerce

Practice address

2060 Chicago Ave Ste A13
Riverside, CA 92507-2316

Phone

(951) 310-2325

NPI assigned

Dec 14, 2023

Organization subpart

No

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

Authorized official

Name

Pepi Jackson

Title

Ceo

Phone

(951) 310-2325

Specialties & licenses 1

Addresses

Other names 1

• Riverside County Black Chamber of Commerce Doing business as

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1063280485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 CHICAGO AVE STE A13",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072316",
            "telephone_number": "951-310-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CHICAGO AVE STE A13",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072316",
            "telephone_number": "951-310-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNTY BLACK CHAMBER HEALTH AND WELLNESS FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PEPI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-310-2325"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside County Black Chamber of Commerce",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Community Hospital
• Riverside Community Hospital
• Riverside Congregational Homes (Plymouth Tower)
• Riverside County
• Riverside County
• Riverside County Black Chamber of Commerce
• Riverside County Department of Mental Health
• Riverside County Department of Mental Health
• Riverside County Department of Mental Health
• Riverside County Department of Mental Health

• Community Health Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.