Tijuana Ross

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

6235 River Crest Dr Ste O
Riverside, CA 92507-0758

Phone

(951) 653-7561

NPI assigned

Apr 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Plan-It Life, Inc.

  • Community/Behavioral Health Agency
  • Temecula, CA
  • NPI 1083231088
  NPD
• Plan-It Life, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Murrieta, CA
  • NPI 1972022937
  NPD

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1902425630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 RIVER CREST DR STE O",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070758",
            "telephone_number": "951-653-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 RIVER CREST DR STE O",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070758",
            "telephone_number": "951-653-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TIJUANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarred Ross Jr.
• Jenell Lagard Ross, SUDCC IV
• Leslie Jeanne Ross, BA
• Maliya Ross
• Tiffany Victorina Ross, LCSW
• Tristen Ross
• Alease Patricia Rossi, LPCC
• Virginia Rossman
• Roza Rostami, DMD
• Olavi Edgar Rouhe, DDS

• Community Health Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.