Michelle's Place Cancer Resource Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MICHELLE'S PLACE CANCER RESOURCE CENTER

Practice address

41669 Winchester Rd
Temecula, CA 92590-4872

Phone

(951) 699-5455

NPI assigned

Mar 28, 2023

Last updated

Mar 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Gerrish

Title

Executive Director

Phone

(951) 699-5455

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mercedes Ruiz

  • Community Health Worker
  • Temecula, CA
  • NPI 1396558557
  NPD

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1891499521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41669 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904872",
            "telephone_number": "951-699-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41669 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904872",
            "telephone_number": "951-699-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE'S PLACE CANCER RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "GERRISH",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-699-5455"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mfi Recovery Center
• Michael F Felong MD PHD & Dolores I Sweeney DO Medical Partnership (Michael F. Felong M.D., Ph.D.)
• Michael Luther DDS Inc (Temecula Orthodontic Group)
• Natalt Michel
• Michele Peterson LCSW a Licensed Clinical Social Worker Corporation (Michele Peterson LCSW)
• James W Mickey, RN
• Joy Marie Miedema, PA-C
• Mike M. Lee, DDS, Inc.
• Monica Miles, APCC
• Milestone Detox, LLC (Milestone Detox)

• Voluntary or Charitable Agency in Temecula, CA
• Providers in Temecula, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.