Pine Ridge Treatment Centers, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PINE RIDGE TREATMENT CENTERS, INC.

Practice address

15367 Bonanza Rd
Ste a
Victorville, CA 92392

Phone

(760) 955-1012

Fax

(760) 955-4811

NPI assigned

Jun 11, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walter Giles

Title

President/Owner

Phone

(909) 867-4404

Specialties & licenses 1

Addresses

Tax ID family

Pine Ridge Treatment Centers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pine Ridge Treatment Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Running Springs, CA
  • NPI 1508903683
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith E Turian, PHD

  • Psychologist
  • Victorville, CA
  • NPI 1780696419
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1366001604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "LUCERNE",
            "state": "CA",
            "postal_code": "954580959",
            "telephone_number": "760-248-9199",
            "fax_number": "760-248-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15367 BONANZA RD",
            "address_2": "STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92392",
            "telephone_number": "760-955-1012",
            "fax_number": "760-955-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "909-867-4404"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Elizabeth Pierce-Aquino
• Ann Marie Pierce, PA-C, MPAS
• La Juana Antionette Pierce
• Demi Pillars
• Melissa Pina
• Aaron Pineda
• Irene Pineda, RADTI
• Elizabeth Pinedo
• Juliarae Pinedo
• Eugenia Pinheiro

• Substance Abuse Rehabilitation Facility in Victorville, CA
• Providers in Victorville, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.