Individual provider Active NPI

Peter Raymond Claude II, CATC 1

  • Addiction (Substance Use Disorder) Counselor
  • Riverside, CA
National Provider Identifier
1730559873
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
17270 Roosevelt St
Riverside, CA 92508-9523
Phone
(951) 780-2541
Fax
(951) 780-5809
NPI assigned
Oct 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

17270 Roosevelt St
Riverside, CA 92508-9523

Mailing address

17270 Roosevelt St
Riverside, CA 92508-9523
Phone (951) 780-2541

Other practice location 1

1100 N D St
San Bernardino, CA 92410-3524
Phone (909) 381-3774

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mfi Recovery Center CurrentSince Jul 23, 2023 Accepting new patients

Locations

17270 Roosevelt St
Riverside, CA 92508
Phone (951) 683-6556

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.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730559873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17270 ROOSEVELT ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089523",
            "telephone_number": "951-780-2541",
            "fax_number": "951-780-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17270 ROOSEVELT ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089523",
            "telephone_number": "951-780-2541",
            "fax_number": "951-780-5809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N D St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924103524",
            "country_code": "US",
            "telephone_number": "909-381-3774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAUDE",
        "first_name": "PETER",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CATC 1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "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 Jul 21, 2022; 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.