Organization Active NPI

The Makade Foundation Inc

  • Mental Health Counselor
  • Riverside, CA
National Provider Identifier
1104759422
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE MAKADE FOUNDATION INC
Practice address
19429 Fortunello Ave
Riverside, CA 92508-6140
Phone
(951) 201-1908
NPI assigned
Jun 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Jorge CervantesNPI 1134059090
Title
Ceo
Phone
(951) 201-1908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X

Addresses

Primary practice location

19429 Fortunello Ave
Riverside, CA 92508-6140

Mailing address

231 E Alessandro Blvd Ste A301
Riverside, CA 92508-5084
Phone (951) 201-1908

National Provider Directory

National Provider Directory
Tax ID family
The Makade Foundation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

231 E Alessandro Blvd
Ste A301
Riverside, CA 92508

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1104759422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E ALESSANDRO BLVD STE A301",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085084",
            "telephone_number": "951-201-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19429 FORTUNELLO AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086140",
            "telephone_number": "951-201-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MAKADE FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-201-1908"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 5, 2026; 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.