County of Riverside

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COUNTY OF RIVERSIDE

Practice address

1330 W Ramsey St
Banning, CA 92220-4477

Phone

(951) 849-7142

Fax

(951) 849-1762

NPI assigned

Aug 19, 2006

Organization subpart

No

Name

Dr. Matthew ChangNPI 1750571683

Title

Director Ruhs - Behavioral Health

Phone

(951) 358-4501

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

• Matthew Stewart Chang, M.D.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1750571683
  NPD Authorized official
• Jonson J Lin, M.D., D.C.

  • Psychiatry Physician
  • Pomona, CA
  • NPI 1114101995
  NPD

Medicare fee-for-service enrollment

Enrolled in CA

Locations

• RIVERSIDE COUNTY DEPARTMENT OF MENTAL HEALTH Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2022.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1245345677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7549",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925137549",
            "telephone_number": "951-358-6900",
            "fax_number": "951-358-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204477",
            "telephone_number": "951-849-7142",
            "fax_number": "951-849-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR RUHS - BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "951-358-4501",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE COUNTY DEPARTMENT OF MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Elaine Corbin, IBCLC
• Kimberly Meghan Cortes
• Janice Cortez, CADC
• County of Riverside
• County of Riverside
• County of Riverside
• County of Riverside
• County of Riverside
• County of Riverside
• County of Riverside- Community Health Agency

• All providers in Banning, CA
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.