Change the Influence

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CHANGE THE INFLUENCE

Practice address

16801 Van Buren Blvd
Riverside, CA 92504-5896

Phone

(760) 636-9226

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Mercedes Montana

Title

Ceo

Phone

(760) 636-9226

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1144891599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16801 VAN BUREN BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045896",
            "telephone_number": "760-636-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16801 VAN BUREN BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045896",
            "telephone_number": "760-636-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE THE INFLUENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "MONTANA",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-636-9226"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamella Chang, O.D.
• Peter Y Chang, MD
• Ryan Chang
• Victor Chang, DO
• Eric Changchien, MD
• Laura Milena Channer, MSW, LCSW
• Alivia Channon
• Catherine Tracy Chao, NP
• Justin Chao, RN
• Khontheary Yen Chap, M.D

• Substance Use Disorder Rehabilitation Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.