Active NPI
Faramarz Shahinpouri, LCSW
- Clinical Social Worker
- Riverside, CA
National Provider Identifier
1285963249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 78852
- Practice address
- 10800 Hole Ave Ste 4
Riverside, CA 92505-2759 - Phone
- (951) 588-8838
- Fax
- (951) 351-2722
- NPI assigned
- Dec 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 658-M | AR | |
| Clinical Social Worker | 1041C0700X | 78852 | CA | Primary |
Addresses
Primary practice location
10800 Hole Ave Ste 4
Riverside, CA 92505-2759
Mailing address
La Sierra Counseling
10800 Hole Ave., Suit 4
Riverside, CA 92505-2578
Phone (951) 588-8838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 658-M | Other | AR | LMSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15497 W Sand St
Victorville, CA 92392-2910
Phone (442) 327-9311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 658-M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Psychological Services | Clinical | Current | Accepting new patients |
| Julio Grova | Single Specialty | Past | Accepting new patients |
| Coast to Coast Psychological Services | Clinical | Past | Accepting new patients |
Locations
3610 Central Ave
Ste 500
Riverside, CA 92506
Phone (442) 327-9311
15497 W Sand St
Victorville, CA 92392
Phone (442) 327-9311
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1285963249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LA SIERRA COUNSELING",
"address_2": "10800 HOLE AVE., SUIT 4",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925052578",
"telephone_number": "951-588-8838",
"fax_number": "951-351-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 HOLE AVE STE 4",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925052759",
"telephone_number": "951-588-8838",
"fax_number": "951-351-2722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHINPOURI",
"first_name": "FARAMARZ",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-21",
"last_updated": "2021-09-17",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "658-M",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "78852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "658-M",
"state": "AR"
}
],
"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 Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.