NPIMap

Organization Active NPI

ASC Riverside Ranch - River House

  • Mental Illness Community Based Residential Treatment Facility
  • Bakersfield, CA
National Provider Identifier
1154536688
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
157200413 Issued in CA
Legal business name
ASC RIVERSIDE RANCH - RIVER HOUSE
Practice address
18200 Highway 178
Bakersfield, CA 93306-9510
Phone
(661) 871-9697
Fax
(661) 871-1270
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Dr. Michael Rosberg, PH.DNPI 1700926474
Title
Program Director
Phone
(661) 871-9697

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 157200413 CA Primary

Addresses

Primary practice location

18200 Highway 178
Bakersfield, CA 93306-9510

Mailing address

18200 Highway 178
Bakersfield, CA 93306-9510
Phone (661) 871-9697

National Provider Directory

National Provider Directory
Tax ID family
Anne Sippi Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1154536688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 HIGHWAY 178",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933069510",
            "telephone_number": "661-871-9697",
            "fax_number": "661-871-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 HIGHWAY 178",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933069510",
            "telephone_number": "661-871-9697",
            "fax_number": "661-871-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC RIVERSIDE RANCH - RIVER HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "ROSBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "661-871-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "157200413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.