Active NPI
Vanessa Renae Maddox
- Case Manager/Care Coordinator
- Riverside, CA
National Provider Identifier
1275415887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1410 3Rd St Ste 2
Riverside, CA 92507-3454 - Phone
- (951) 956-8532
- NPI assigned
- Jul 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Health Educator | 174H00000X | |||
| Doula | 374J00000X | CA |
Addresses
Primary practice location
1410 3Rd St Ste 2
Riverside, CA 92507-3454
Mailing address
1410 3Rd St Ste 2
Riverside, CA 92507-3454
Phone (951) 956-8532
Other practice location 1
2248 Sheridan Rd
San Bernardino, CA 92407-2444
Phone (909) 473-1700
Other practice location 2
25030 Ocotillo Ave
Moreno Valley, CA 92553-4440
Phone (951) 247-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purposely Chosen, Inc. | Past | Accepting new patients | |
| Purposely Chosen, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Moreno Valley, CA
- NPI 1679178396
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- San Bernardino, CA
- NPI 1902401623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1275415887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 3RD ST STE 2",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925073454",
"telephone_number": "951-956-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 3RD ST STE 2",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925073454",
"telephone_number": "951-956-8532"
}
],
"practiceLocations": [
{
"address_1": "2248 Sheridan Rd",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924072444",
"country_code": "US",
"telephone_number": "909-473-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25030 Ocotillo Ave",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925534440",
"country_code": "US",
"telephone_number": "951-247-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADDOX",
"first_name": "VANESSA",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-24",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.