Active NPI
Jorge Alberto Cervantes
- Mental Health Counselor
- Corona, CA
National Provider Identifier
1134059090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3020 Manchester Cir
Corona, CA 92879-6127 - Phone
- (951) 201-1908
- NPI assigned
- May 21, 2026
- Last updated
- May 21, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | Primary |
Addresses
Primary practice location
3020 Manchester Cir
Corona, CA 92879-6127
Mailing address
231 E Alessandro Blvd Ste A301
Riverside, CA 92508-5084
Phone (951) 201-1908
Other practice location 1
19429 Fortunello Ave
Riverside, CA 92508-6140
Phone (951) 215-0014
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Makade Foundation Inc | Mental Health | Current | Accepting new patients |
| The Makade Foundation Inc | Current | Accepting new patients |
Locations
231 E Alessandro Blvd
Ste A301
Riverside, CA 92508
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Riverside, CA
- NPI 1104759422
-
- Adolescent and Children Mental Health Clinic/Center
- Corona, CA
- NPI 1407702053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1134059090",
"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": "3020 MANCHESTER CIR",
"city": "CORONA",
"state": "CA",
"postal_code": "928796127",
"telephone_number": "951-201-1908"
}
],
"practiceLocations": [
{
"address_1": "19429 Fortunello Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925086140",
"country_code": "US",
"telephone_number": "951-215-0014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERVANTES",
"first_name": "JORGE",
"middle_name": "ALBERTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-21",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
- Cep America - Neurology PC
- Juan Cerda-Ofogh
- Jessica A Cerda, PSYD
- Alejandra Danielle Cerritos, RBT
- Aryana Marcela Cervantes
- Roberta I Cervantes, RN, BSN, IBCLC
- Marielle Cabuhat Cesa, MAOT, OTR/L
- Cesar R. Bartell, O.D. Inc.
- Ceuticare LLC (Regal Specialty Pharmacy)
- Ceuticare LLC (Regal Specialty Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.