Riverside Univeristy Health System Department of Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RIVERSIDE UNIVERISTY HEALTH SYSTEM DEPARTMENT OF MENTAL HEALTH

Practice address

1405 Spruce St Ste a
Riverside, CA 92507-2410

Phone

(951) 715-5050

NPI assigned

May 1, 2017

Organization subpart

No

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

Authorized official

Name

Karina Zamora Montelongo

Title

Behavioral Health Specialist II

Phone

(951) 715-5050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1699200345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SPRUCE ST STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072410",
            "telephone_number": "951-715-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SPRUCE ST STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072410",
            "telephone_number": "951-715-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE UNIVERISTY HEALTH SYSTEM DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "ZAMORA MONTELONGO",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH SPECIALIST II",
        "authorized_official_telephone_number": "951-715-5050"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Specialty Care Medical Corp
• Riverside Supportive Living
• Riverside Unified School District
• Riverside Unified School District
• Riverside Unified School District
• Riverside University Health System
• Riverside Villa
• Riverwalk Facial and Oral Surgery
• Riverwalk Pharmacy
• Riverwalk Surgery Center, LLC

• Community/Behavioral Health Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.