Active NPI
Timothy O'Connell, CATC
- Addiction (Substance Use Disorder) Counselor
- Cardiff, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 19609
- Practice address
- 120 Birmingham Dr Ste 240a
Cardiff, CA 92007-1757 - Phone
- (858) 208-0121
- NPI assigned
- Jan 26, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19609 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2114485 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
120 Birmingham Dr Ste 240a
Cardiff, CA 92007-1757
Mailing address
10281 Kidd St
Riverside, CA 92503-3469
Phone (951) 715-5050
Other practice location 1
14677 Merrill Ave
Fontana, CA 92335-4219
Phone (951) 643-2340
Other practice location 2
2085 Rustin Ave Bldg 1
Riverside, CA 92507-2498
Phone (951) 782-2400
Other practice location 3
17830 Arrow Blvd
Fontana, CA 92335-4037
Phone (909) 356-6730
Other practice location 4
10281 Kidd St
Riverside, CA 92503-3469
Phone (951) 715-5050
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2114485 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current | Accepting new patients | |
| Alondra Loya | Case Manager/Care Coordinator | Current | Accepting new patients |
Locations
14677 Merrill Ave
Fontana, CA 92335
Phone (951) 643-2335
10281 Kidd St
Riverside, CA 92503
Phone (951) 358-5785
Organizations & group practices 2
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.
-
- Case Manager/Care Coordinator
- Fontana, CA
- NPI 1568160828
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1598195562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1972040061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10281 KIDD ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033469",
"telephone_number": "951-715-5050",
"fax_number": "800-498-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BIRMINGHAM DR STE 240A",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920071757",
"telephone_number": "858-208-0121"
}
],
"practiceLocations": [
{
"address_1": "14677 Merrill Ave",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "923354219",
"country_code": "US",
"telephone_number": "951-643-2340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2085 Rustin Ave Bldg 1",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925072498",
"country_code": "US",
"telephone_number": "951-782-2400",
"fax_number": "951-784-9176",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17830 Arrow Blvd",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "923354037",
"country_code": "US",
"telephone_number": "909-356-6730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10281 Kidd St",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925033469",
"country_code": "US",
"telephone_number": "951-715-5050",
"fax_number": "800-498-8847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNELL",
"first_name": "TIMOTHY",
"credential": "CATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-26",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "19609",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "2114485",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cardiff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.