County of Riverside
Organization Active NPI Community/Behavioral Health Agency · Murrieta, CA
NPI 1508108788 · NPPES record last updated Dec 11, 2025
Key facts
- NPI
- 1508108788
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COUNTY OF RIVERSIDE
- Practice address
- 30755 Auld Rd Ste C
Murrieta, CA 92563-2581 - Phone
- (951) 600-6801
- NPI assigned
- Mar 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Matthew Chang
- Title
- Director Ruhs - Behavioral Health
- Phone
- (951) 358-4500
Corporate family (same tax ID) 24
Practitioners 3
-
Ralph Lissaur, M.D.
-
Mary Haroun, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310001107 | CA | Part B Supplier - Clinic/Group Practice | 6507754488 |
Receives reassigned benefits from 362 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Riverside County Dept
Locations
30755 Auld Rd
Murrieta, CA 92563
Phone (951) 600-6750
30755 Auld Rd
Ste C
Murrieta, CA 92563
Phone (951) 600-6800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
30755 Auld Rd Ste C
Murrieta, CA 92563-2581
Mailing address
PO Box 7659
Riverside, CA 92513
Phone (951) 358-6900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00033 | Other | CA | LEGAL ENTITY |
Other names
- Juvenile Hall Murrieta
- MH Detention - Cois M. Byrd Detention Center
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All providers in Murrieta, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.