Active NPI
Yakuba Brown
- Peer Specialist
- Riverside, CA
National Provider Identifier
1194693085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-OZRLFW
- Practice address
- 2192 Galleria at Tyler
Riverside, CA 92503-4146 - Phone
- (951) 570-5053
- NPI assigned
- Oct 23, 2025
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-OZRLFW | CA | Primary |
Addresses
Primary practice location
2192 Galleria at Tyler
Riverside, CA 92503-4146
Mailing address
15419 Theresa Ave
Moreno Valley, CA 92551-3668
Phone (951) 478-7178
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-OZRLFW | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fiatm Industries LLC | Current | Accepting new patients | |
| The F I a T M Group Inc. | Peer Specialist | Current | Accepting new patients |
Locations
2192 Galleria At Tyler
Riverside, CA 92503
Phone (951) 570-5053
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Riverside, CA
- NPI 1265365969
-
- Early Intervention Provider Agency
- Riverside, CA
- NPI 1386537868
Peer Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1194693085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15419 THERESA AVE",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925513668",
"telephone_number": "951-478-7178",
"fax_number": "951-478-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2192 GALLERIA AT TYLER",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925034146",
"telephone_number": "951-570-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "YAKUBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-23",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-OZRLFW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.