Active NPI
Gabriel Arredondo
- Professional Counselor
- Rialto, CA
National Provider Identifier
1790033488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2922
- Practice address
- 149 N Arrowhead Ave
Rialto, CA 92376-5662 - Phone
- (909) 421-7810
- NPI assigned
- Aug 28, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2922 | CA | Primary |
Addresses
Primary practice location
149 N Arrowhead Ave
Rialto, CA 92376-5662
Mailing address
1812 W Park Ave
Redlands, CA 92373-8014
Phone (909) 373-6990
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino County Superintendent of Schools | Past | Accepting new patients | |
| San Bernardino County Superintendent of Schools | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Redlands, CA
- NPI 1033668066
-
- Mental Health Counselor
- Redlands, CA
- NPI 1104183763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1790033488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 W PARK AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738014",
"telephone_number": "909-373-6990",
"fax_number": "951-683-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 N ARROWHEAD AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765662",
"telephone_number": "909-421-7810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARREDONDO",
"first_name": "GABRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "2922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.