Active NPI
Justyn Peeples
- Community Health Worker
- Riverside, CA
National Provider Identifier
1790637965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 2530 3Rd St
Riverside, CA 92507-3309 - Phone
- (951) 660-6310
- NPI assigned
- Feb 11, 2026
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
2530 3Rd St
Riverside, CA 92507-3309
Mailing address
8427 Lucia St
Riverside, CA 92508-6302
Phone (951) 486-1640
Other practice location 1
1240 Palmyrita Ave Ste A
Riverside, CA 92507-1728
Phone (851) 786-9048
Other practice location 2
2840 Hulen Pl
Riverside, CA 92507-2606
Phone (951) 660-6310
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | IEHPProviderPortal | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1790637965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8427 LUCIA ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925086302",
"telephone_number": "951-486-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 3RD ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925073309",
"telephone_number": "951-660-6310"
}
],
"practiceLocations": [
{
"address_1": "1240 Palmyrita Ave Ste A",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925071728",
"country_code": "US",
"telephone_number": "851-786-9048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2840 Hulen Pl",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925072606",
"country_code": "US",
"telephone_number": "951-660-6310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEEPLES",
"first_name": "JUSTYN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-11",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "IEHPProviderPortal",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "2530 3rd St",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925073309",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.