Active NPI
Robert Brooks, ITE
- Peer Specialist
- Riverside, CA
National Provider Identifier
1922540236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2085 Rustin Ave
Riverside, CA 92507-2498 - Phone
- (909) 491-0287
- NPI assigned
- Nov 17, 2016
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
2085 Rustin Ave
Riverside, CA 92507-2498
Mailing address
PO Box 2851
Riverside, CA 92516-2851
Phone (909) 491-0287
Other practice location 1
771 W Blaine St Ste C
Riverside, CA 92507-3940
Phone (951) 955-2233
Other practice location 2
9990 County Farm Rd Ste 5
Riverside, CA 92503-3542
Phone (909) 358-4834
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": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1922540236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2851",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925162851",
"telephone_number": "909-491-0287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 RUSTIN AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072498",
"telephone_number": "909-491-0287"
}
],
"practiceLocations": [
{
"address_1": "771 W Blaine St Ste C",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925073940",
"country_code": "US",
"telephone_number": "951-955-2233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9990 County Farm Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925033542",
"country_code": "US",
"telephone_number": "909-358-4834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "ITE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-17",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.