Individual provider Active NPI

Ernest Rodriguez Bello, RADT # R1583851024

  • Community Health Worker
  • Riverside, CA
National Provider Identifier
1396592713
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
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

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
R1583851024CAMDAddiction (Substance Use Disorder) Counselor
MPSS-FXZUKNCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kindful Restoration Addiction (Substance Use Disorder) CurrentSince May 7, 2024 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.

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.

Verify at the official NPI Registry.