Organization Active NPI

Riverside County Latino Commission on Alcohol and Drug Abuse Services,

  • Adolescent and Children Mental Health Clinic/Center
  • Thermal, CA
National Provider Identifier
1235401407
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
34865 Issued in CA
Legal business name
RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES,
Practice address
83800 Airport Blvd
Thermal, CA 92274-9367
Phone
(760) 398-9000
Fax
(760) 398-9790
NPI assigned
Feb 3, 2012
Last updated
Feb 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Mr. Leonel Contreras, CAS IINPI 1073799623
Title
Executive Director
Phone
(760) 347-9442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 34865 CA Primary

Addresses

Primary practice location

83800 Airport Blvd
Thermal, CA 92274-9367

Mailing address

83844 Hopi Ave
Indio, CA 92203-2638
Phone (760) 347-9442

National Provider Directory

National Provider Directory
Tax ID family
Riverside Latino Commission12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

83800 Airport Blvd
Thermal, CA 92274
Phone (760) 398-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1235401407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83844 HOPI AVE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922032638",
            "telephone_number": "760-347-9442",
            "fax_number": "760-342-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83800 AIRPORT BLVD",
            "city": "THERMAL",
            "state": "CA",
            "postal_code": "922749367",
            "telephone_number": "760-398-9000",
            "fax_number": "760-398-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES,",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-347-9442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAS II"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "34865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thermal, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.