Active NPI
Rafael Quiroz Jr., MPSS
- Peer Specialist
- Riverside, CA
National Provider Identifier
1619671948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-CITKOX
- Practice address
- 2526 10TH St
Riverside, CA 92507-5014 - Phone
- (760) 859-6977
- NPI assigned
- Mar 29, 2023
- Last updated
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-CITKOX | CA | Primary |
Addresses
Primary practice location
2526 10TH St
Riverside, CA 92507-5014
Mailing address
2526 10TH St
Riverside, CA 92507-5014
Phone (760) 859-6977
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 |
|---|---|---|---|
| MPSS-CITKOX | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Made New Foundation Inc | Single Specialty | Current | Accepting new patients |
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": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1619671948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2526 10TH ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075014",
"telephone_number": "760-859-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 10TH ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075014",
"telephone_number": "760-859-6977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIROZ",
"first_name": "RAFAEL",
"name_suffix": "Jr.",
"credential": "MPSS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-CITKOX",
"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 Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.