Heritage Health Network LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HERITAGE HEALTH NETWORK LLC

Practice address

2155 Chicago Ave Ste 201
Riverside, CA 92507-2209

Phone

(866) 744-1231

Fax

(909) 966-4069

NPI assigned

Dec 15, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Cameron Michael Stewart

Title

Ceo

Phone

(909) 573-5690

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Heritage Health Network LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Heritage Health Network LLC

  • Case Manager/Care Coordinator
  • Lynwood, CA
  • NPI 1326804527
  NPD tax ID

Locations

Practitioners 8

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

• Victoria Arce

  • Clinical Social Worker
  • Ontario, CA
  • NPI 1588048144

  Mental Health

  Medicare reassignment NPD
• Keturah Baker, MA, LMFT

  • Mental Health Counselor
  • Gardena, CA
  • NPI 1841387990
  Medicare reassignment NPD
• Melissa Acosta-Hernandez

  • Community Health Worker
  • Riverside, CA
  • NPI 1326886037
  NPD
• Esmeralda Bucio

  • Community Health Worker
  • Riverside, CA
  • NPI 1831066323

  Multi-Specialty

  NPD
• Cassandra Coffey, MS, BS, LPT

  • Case Manager/Care Coordinator
  • Riverside, CA
  • NPI 1922835396
  NPD
• Laisha Santillan

  • Community Health Worker
  • Riverside, CA
  • NPI 1891662177

  Multi-Specialty

  NPD
• Chermaine Anita Tipton, REGISTERED NURSE

  • Registered Nurse
  • Riverside, CA
  • NPI 1699502062
  NPD
• Julia Vargas

  • Case Manager/Care Coordinator
  • Riverside, CA
  • NPI 1518834993
  NPD

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1205604550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 CHICAGO AVE STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072209",
            "telephone_number": "866-744-1231",
            "fax_number": "909-966-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 CHICAGO AVE STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072209",
            "telephone_number": "866-744-1231",
            "fax_number": "909-966-4069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 East Blvd Ste E1123",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035870",
            "country_code": "US",
            "telephone_number": "866-744-1231",
            "fax_number": "909-966-4069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7121 W Craig Rd",
            "address_2": "Ste 113 PMB 1236",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89129",
            "country_code": "US",
            "telephone_number": "866-744-1231",
            "fax_number": "909-966-4069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3740 E Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902622759",
            "country_code": "US",
            "telephone_number": "866-744-1231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERITAGE HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-573-5690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Herbrandson
• Martin Heredia Martinez
• Leslie A. Herfindahl, LCSW
• Jane Herico, N.P.
• Heritage Health Network
• Herman a Carstens MD Clinic of Obstetrics and Gynecology P C
• Hermanas Adolescent and Family Wholistic Counseling Inc (Hermanas Wholistic Counseling)
• Chloe Hermano
• Diana Braganza Hermano, PHARMACIST
• Lizeth Hernandez Aparicio

• Mental Health Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.