Active NPI
Central Medical & Behavioral Center
- Primary Care Clinic/Center
- Riverside, CA
National Provider Identifier
1285824813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CENTRAL MEDICAL & BEHAVIORAL CENTER
- Practice address
- 4230 Central Avenue
Riverside, CA 92504-2919 - Phone
- (951) 956-1996
- NPI assigned
- Jul 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnny Edrozo, MD
- Title
- President
- Phone
- (714) 612-4372
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
4230 Central Avenue
Riverside, CA 92504-2919
Mailing address
4230 Central Ave
Riverside, CA 92506-2919
Phone (951) 956-1996
National Provider Directory
National Provider DirectoryLocations
4230 Central Ave
Riverside, CA 92506
Phone (951) 956-1996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185753600000",
"number": "1285824813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 CENTRAL AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062919",
"telephone_number": "951-956-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 CENTRAL AVENUE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042919",
"telephone_number": "951-956-1996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL MEDICAL & BEHAVIORAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2007-07-30",
"status": "A",
"authorized_official_last_name": "EDROZO",
"authorized_official_first_name": "JOHNNY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-612-4372",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- Kayla Ann Centeno
- Center for Better Health, a Medical Group, Inc.
- Central Best Pharmacy Inc
- Central Counseling Services
- Central Counseling Services Licensed Clinical Social Worker Inc
- Central Medical Group
- Central Neighborhood Health Foundation - Riverside
- Central Occupational Medicine Providers Ontario Inc
- Centro Medico Community Clinic, Inc
- Centro Medico Community Clinic, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.