NPIMap

Organization Active NPI

Riverside County Dept of Mental Health

Doing business as Public Guardian

  • Case Management Agency
  • Riverside, CA
National Provider Identifier
1619159506
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RIVERSIDE COUNTY DEPT OF MENTAL HEALTH
Doing business as
Public Guardian
Practice address
3190 Chicago Ave
Riverside, CA 92507-3448
Phone
(951) 341-6440
Fax
(951) 341-6403
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Jerry Wengerd
Title
Director of Mental Health
Phone
(951) 358-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

3190 Chicago Ave
Riverside, CA 92507-3448

Mailing address

PO Box 7659
Riverside, CA 92513
Phone (951) 358-6900

Other identifiers 1

IdentifierTypeStateIssuer
00033OtherCALEGAL ENTITY

Other names 1

  • Public Guardian Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Neighborhood244 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3190 Chicago Ave
Riverside, CA 92507
Phone (951) 341-6440

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1619159506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7659",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92513",
            "telephone_number": "951-358-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 CHICAGO AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073448",
            "telephone_number": "951-341-6440",
            "fax_number": "951-341-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNTY DEPT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "WENGERD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH",
        "authorized_official_telephone_number": "951-358-4500"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGAL ENTITY",
            "identifier": "00033",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Guardian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2007; 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.