Central Valley Regional Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CENTRAL VALLEY REGIONAL RECOVERY CENTER

Practice address

1076 Santo Antonio Dr
Colton, CA 92324-8103

Phone

(909) 433-9824

Fax

(909) 433-9830

NPI assigned

Jun 26, 2008

Last updated

Jun 26, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MENTAL HEALTH SYSTEMSAs reported in NPPES

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

Authorized official

Name

Mr. Ronald Stark, MSA

Title

Program Manager

Phone

(909) 433-9824

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1124280714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 SANTO ANTONIO DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923248103",
            "telephone_number": "909-433-9824",
            "fax_number": "909-433-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 SANTO ANTONIO DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923248103",
            "telephone_number": "909-433-9824",
            "fax_number": "909-433-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY REGIONAL RECOVERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL HEALTH SYSTEMS",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "909-433-9824",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAADAC  REGISTERED STUDENT",
            "identifier": "RS6544",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Ceja
• Xyril Celestino
• Christopher Celis
• Jennifer Ledezma Ceniceros
• Sheila M Centino
• Cep America
• Cep America
• Cep America - California (Vituity)
• Cep America - Neurology PC (Vituity)
• Cep America - Psychiatry PC

• Community/Behavioral Health Agency in Colton, CA
• Providers in Colton, 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 Jun 26, 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.