Cannamed Relief

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

330015118 Issued in CA

Legal business name

CANNAMED RELIEF

Practice address

21016 Box Springs Rd
Moreno Valley, CA 92557-8711

Phone

(951) 204-4016

Fax

(951) 682-3969

NPI assigned

Nov 4, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Gail Suzanne Riddick, HEALTH CARE GIVER

Title

Vicepresident

Phone

(951) 682-3969

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1225365778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22426 WEMBLEY DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576828",
            "telephone_number": "951-682-3969",
            "fax_number": "951-682-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21016 BOX SPRINGS RD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925578711",
            "telephone_number": "951-204-4016",
            "fax_number": "951-682-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNAMED RELIEF",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "RIDDICK",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "VICEPRESIDENT",
        "authorized_official_telephone_number": "951-682-3969",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HEALTH CARE GIVER"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": "330015118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Cherrie Campbell, LCSW
• Brenda Giselle Campos
• Clarissa Desirae Campos, AGACNP
• Ciomara Marleny Canales
• Krystal Elvia Cancelada
• Sallie Ann Canumay, DO
• Canyon Springs Dialysis LLC
• Canyon Springs Medical Group, Inc.
• Peter Cao, RPH
• Jessica Geselle Carbajal

• Private Vehicle in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Private Vehicle in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.