Susi Deyanira Aviles

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

Health Administration Building 4065 County Circle Drive
Riverside, CA 92503

Phone

(951) 413-5474

NPI assigned

Apr 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1902594948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEALTH ADMINISTRATION BUILDING 4065 COUNTY CIRCLE DRIVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEALTH ADMINISTRATION BUILDING 4065 COUNTY CIRCLE DRIVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92503",
            "telephone_number": "951-413-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "SUSI",
        "middle_name": "DEYANIRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Avila, RN
• Yenicka Natalie Avila
• Yvonne Avila
• Jacqueline Aviles
• Michael Aviles
• Marium Awad
• Joseph Awadalla, MD
• Mustafa Awadalla, PHARMD
• Aisha Malika Awan
• Rashid Ali Awan, MD

• 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 Apr 27, 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.