Active NPI
Richard Peter Embree
- Addiction (Substance Use Disorder) Counselor
- Fullerton, CA
National Provider Identifier
1629403795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C054040518
- Practice address
- 218 E Commonwealth Ave
Fullerton, CA 92832-1911 - Phone
- (714) 992-4770
- Fax
- (714) 992-5475
- NPI assigned
- Sep 9, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C054040518 | CA | Primary |
Addresses
Primary practice location
218 E Commonwealth Ave
Fullerton, CA 92832-1911
Mailing address
5870 Arlington Ave Ste 103
Riverside, CA 92504-2037
Phone (951) 683-6596
Other practice location 1
100 E Market St
Long Beach, CA 90805-5924
Phone (562) 428-4222
Other practice location 2
17270 Roosevelt St
Riverside, CA 92508-9523
Phone (951) 780-2541
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 |
|---|---|---|---|
| C054040518 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mfi Recovery Center | Past | 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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Riverside, CA
- NPI 1881059525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1629403795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5870 ARLINGTON AVE STE 103",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042037",
"telephone_number": "951-683-6596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 E COMMONWEALTH AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321911",
"telephone_number": "714-992-4770",
"fax_number": "714-992-5475"
}
],
"practiceLocations": [
{
"address_1": "100 E Market St",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908055924",
"country_code": "US",
"telephone_number": "562-428-4222",
"fax_number": "562-428-0372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17270 Roosevelt St",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925089523",
"country_code": "US",
"telephone_number": "951-780-2541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMBREE",
"first_name": "RICHARD",
"middle_name": "PETER",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-09",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C054040518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
- Elizabeth R. Reyes, M.D., Apc
- Don R. Ellertson, DDS
- Jatiece D Elliott
- Michelle Anne Parel Elomina
- Helen Rozanna Elsenpeter, DC
- Susan Ann Emerson, LCSW, CATC IV
- Janet Evans Emery, NP
- Emporium Medical Equipment Inc.
- Empowered Through Emdr Psychotherapy Marriage Family Therapist, Inc.
- Encouraging Path Family Therapy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.