Active NPI
Rene Marie Razo
- Clinical Social Worker
- Indio, CA
National Provider Identifier
1477950517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108676
- Practice address
- 82675 US Highway 111
Indio, CA 92201-5635 - Phone
- (760) 393-3317
- NPI assigned
- Dec 3, 2014
- Last updated
- May 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1304161341 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7725 | CA | |
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | 108676 | CA | Primary |
Addresses
Primary practice location
82675 US Highway 111
Indio, CA 92201-5635
Mailing address
82675 US Highway 111
Indio, CA 92201-5635
Phone (760) 393-3317
Other practice location 1
1330 W Ramsey St
Banning, CA 92220-4477
Phone (951) 849-7142
Other practice location 2
82675 US Highway 111
Indio, CA 92201-5635
Phone (760) 393-3317
Other practice location 3
73280 Wyconda St
Thousand Palms, CA 92276-3760
Phone (760) 590-7994
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 |
|---|---|---|---|
| 7725 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| R1304161341 | 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": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1477950517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82675 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922015635",
"telephone_number": "760-393-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82675 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922015635",
"telephone_number": "760-393-3317"
}
],
"practiceLocations": [
{
"address_1": "1330 W Ramsey St",
"address_purpose": "LOCATION",
"city": "Banning",
"state": "CA",
"postal_code": "922204477",
"country_code": "US",
"telephone_number": "951-849-7142",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "82675 US Highway 111",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922015635",
"country_code": "US",
"telephone_number": "760-393-3317",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "73280 Wyconda St",
"address_purpose": "LOCATION",
"city": "Thousand Palms",
"state": "CA",
"postal_code": "922763760",
"country_code": "US",
"telephone_number": "760-590-7994",
"fax_number": "760-590-7994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAZO",
"first_name": "RENE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-03",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1304161341",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "7725",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "108676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
- Jasdeep Randhawa, MD
- Jaclyn Rose Rangel
- Suguna RS Rao, MD
- Ray of Hope Marriage and Family Counseling Prof. Corp. (Ray of Hope Counseling)
- Perla Patricia Ray, LMFT
- Alessandra Felicia Rea
- Evelyn Reboseno Herrera
- Recovery Innovations Inc (RI International)
- Recovery Innovations, Inc (RI International)
- Recovery Innovations, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.