NPIMap

Organization Active NPI

County of Riverside Department of Mental Health

  • Prison Health Clinic/Center
  • Riverside, CA
National Provider Identifier
1104369982
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
License
IMF 85468 Issued in CA
Legal business name
COUNTY OF RIVERSIDE DEPARTMENT OF MENTAL HEALTH
Practice address
4000 Orange St
Riverside, CA 92501-3613
Phone
(951) 955-4400
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Ms. Linda Nicolas
Title
Sr. Human Resources Clerk-C
Phone
(951) 358-4609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X IMF 85468 CA Primary

Addresses

Primary practice location

4000 Orange St
Riverside, CA 92501-3613

Mailing address

2096 W 29TH PL
Los Angeles, CA 90018-3034

National Provider Directory

National Provider Directory
Tax ID family
Riverside County Dept244 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1104369982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2096 W 29TH PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900183034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ORANGE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013613",
            "telephone_number": "951-955-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RIVERSIDE DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "SR. HUMAN RESOURCES CLERK-C",
        "authorized_official_telephone_number": "951-358-4609",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "CA",
            "license": "IMF 85468",
            "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 Nov 28, 2016; 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.