Henry Cabrera

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95013674 Issued in CA

Practice address

27837 Spring Grove St
Moreno Valley, CA 92555-5834

Phone

(951) 376-8283

NPI assigned

Jun 4, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Victor Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Perris, CA
  • NPI 1629240270
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1245722362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27837 SPRING GROVE ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555834",
            "telephone_number": "951-376-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27837 SPRING GROVE ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555834",
            "telephone_number": "951-376-8283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 N Perris Blvd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925712811",
            "country_code": "US",
            "telephone_number": "951-436-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "HENRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla R Cabanillas
• Kiana Cabasa, MD
• Rosemarie Lava Cabati-Ablir, NP
• Annamilet Cabrales
• Erik D Cabrera, DDS
• Branden Tyler Raymundo Cadigan
• Nola Cagnones
• Che Cai
• Jeremy Lee Cain
• Cajon Medical Group PC

• Psychiatric/Mental Health Nurse Practitioner in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.