James Victor Fishell III, CADC-1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

I3240608 Issued in CA

Practice address

12770 Cobblestone Cir
Riverside, CA 92503-4604

Phone

(951) 254-6998

NPI assigned

May 5, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1194135715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12770 COBBLESTONE CIR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034604",
            "telephone_number": "951-254-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12770 COBBLESTONE CIR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034604",
            "telephone_number": "951-254-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHELL",
        "first_name": "JAMES",
        "middle_name": "VICTOR",
        "name_suffix": "III",
        "credential": "CADC-1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "I3240608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAADAC",
            "identifier": "I3240608",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Impact Medical Group, Inc
• Firstsight Vision Services, Inc.
• Firstsight Vision Services, Inc.
• Natalie Lanae Fish
• Gary Martin Fishberg, O.D.
• Lauri Fisher-Gomez
• Betzaida Fisher
• Danial Robert Fisher, DO
• Heidi Dawn Fisher
• Valeria Fitz Jimenez

• Addiction (Substance Use Disorder) Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.