Active NPI
Manuel Rincon
- Community Health Worker
- Yucca Valley, CA
National Provider Identifier
1386199115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 58923 Business Center Dr
Suite J
Yucca Valley, CA 92284-7311 - Phone
- (760) 228-9657
- Fax
- (760) 365-2072
- NPI assigned
- Aug 22, 2016
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
58923 Business Center Dr
Suite J
Yucca Valley, CA 92284-7311
Mailing address
58923 Business Center Dr
Suite J
Yucca Valley, CA 92284-7311
Phone (760) 228-9657
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1386199115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58923 BUSINESS CENTER DR",
"address_2": "SUITE J",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847311",
"telephone_number": "760-228-9657",
"fax_number": "760-365-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58923 BUSINESS CENTER DR",
"address_2": "SUITE J",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847311",
"telephone_number": "760-228-9657",
"fax_number": "760-365-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINCON",
"first_name": "MANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-22",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.