Aaron D Pratt, CADC 2

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

R1336320119 Issued in CA

Practice address

650 N State St
Hemet, CA 92543-2960

Phone

(951) 791-3300

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Palm Springs Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Palm Springs, CA
  • NPI 1285992438
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1942855168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925432960",
            "telephone_number": "951-791-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925432960",
            "telephone_number": "951-791-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "AARON",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CADC 2",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-05-03",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "R1336320119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YA0400X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lissa-Ann Portorreal, PT
• Indhira Pozo-Gordon
• Ryan Gatmaitan Pozon, MD
• Practice Holdings LP
• Keerthana Prakash
• Preferred Hearing Healthcare, Inc.
• Premier Surgical Associates Inc
• Emelita Morales Price
• Private Healthcare Facilities
• Gautam Reddy Produturi, MD

• Case Manager/Care Coordinator in Hemet, CA
• Providers in Hemet, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.