Active NPI
Eric Rauda
- Addiction (Substance Use Disorder) Counselor
- Chino, CA
National Provider Identifier
1376879536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RS1675
- Practice address
- 5389 Riverside Dr
Chino, CA 91710-4252 - Phone
- (909) 464-0400
- Fax
- (909) 464-0433
- NPI assigned
- Oct 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RS1675 | CA | Primary |
Addresses
Primary practice location
5389 Riverside Dr
Chino, CA 91710-4252
Mailing address
5389 Riverside Dr
Chino, CA 91710-4252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS1675 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256256000000",
"number": "1376879536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5389 RIVERSIDE DR",
"city": "CHINO",
"state": "CA",
"postal_code": "917104252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5389 RIVERSIDE DR",
"city": "CHINO",
"state": "CA",
"postal_code": "917104252",
"telephone_number": "909-464-0400",
"fax_number": "909-464-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUDA",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-23",
"last_updated": "2009-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RS1675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.