Active NPI
Ernest Rodriguez Bello, RADT # R1583851024
- Community Health Worker
- Riverside, CA
National Provider Identifier
1396592713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 7344 Magnolia Ave Ste 110
Riverside, CA 92504-3819 - Phone
- (805) 622-7747
- NPI assigned
- May 3, 2024
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1583851024 | CA | |
| Health & Wellness Coach | 171400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | MPSS-FXZUKN | CA | |
| Community Health Worker | 172V00000X | CA | Primary |
Addresses
Primary practice location
7344 Magnolia Ave Ste 110
Riverside, CA 92504-3819
Mailing address
8008 Magnolia Ave Apt 3
Riverside, CA 92504-3449
Phone (951) 934-8183
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 |
|---|---|---|---|
| R1583851024 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| MPSS-FXZUKN | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindful Restoration | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
7344 Magnolia Ave
Ste 110
Riverside, CA 92504
Phone (951) 404-0856
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Manager/Care Coordinator
- Riverside, CA
- NPI 1023865326
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1396592713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8008 MAGNOLIA AVE APT 3",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043449",
"telephone_number": "951-934-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7344 MAGNOLIA AVE STE 110",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043819",
"telephone_number": "805-622-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ BELLO",
"first_name": "ERNEST",
"credential": "RADT # R1583851024",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-03",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1583851024",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-FXZUKN",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.