Rise Recovery

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

RISE RECOVERY

Practice address

395 W 17TH St
San Bernardino, CA 92405-4409

Phone

(909) 733-6490

Fax

(213) 986-4916

NPI assigned

Nov 25, 2019

Organization subpart

Yes

Parent organization

FOUNDATION ENTERPRISES LLCAs reported in NPPES

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

Authorized official

Name

Karina Cruz

Title

Manageing Partner

Phone

(909) 733-6490

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Foundation Enterprises LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Foundation Enterprises LLC

  • Non-emergency Medical Transport (VAN)
  • San Bernardino, CA
  • NPI 1336598259
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1528604501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W 17TH ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054409",
            "telephone_number": "909-733-6490",
            "fax_number": "213-986-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 17TH ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054409",
            "telephone_number": "909-733-6490",
            "fax_number": "213-986-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATION ENTERPRISES LLC",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "MANAGEING PARTNER",
        "authorized_official_telephone_number": "909-733-6490"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336598259",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noeli Rios
• Yhan Mauricio Rios
• Rachel C. Riphagen, PSY.D.
• Karina Gabriela Ripley Dominguez
• Jessica Ripley
• Daisy Rivas
• Frank Rivas
• Rivera Chiropractic Corporation
• Branden Rivera Tapia
• Denise Rivera-Martinez

• Addiction (Substance Use Disorder) Counselor in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.