Organization Active NPI

Riverside Recovery Resources

Doing business as Omega/Beta Program

  • Local Education Agency (LEA)
  • Lake Elsinore, CA
National Provider Identifier
1982703773
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
330009ON Issued in CA
Legal business name
RIVERSIDE RECOVERY RESOURCES
Doing business as
Omega/Beta Program
Practice address
600 Third Street
Ste C
Lake Elsinore, CA 92530-0000
Phone
(951) 674-5354
Fax
(951) 674-5227
NPI assigned
Sep 21, 2006
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Bernard L Truax II
Title
Ceo/Chairman of the Board
Phone
(951) 674-5354

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 3300090N CA
Local Education Agency (LEA) 251300000X 330009ON CA Primary

Addresses

Primary practice location

600 Third Street
Ste C
Lake Elsinore, CA 92530-0000

Mailing address

PO Box 549
Lake Elsinore, CA 92531-0549
Phone (951) 674-5354

Other names 1

  • Omega/Beta Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Recovery Resources Inc45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Locations

600 3rd St
Ste C
Lake Elsinore, CA 92530
Phone (951) 674-7354

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1982703773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925310549",
            "telephone_number": "951-674-5354",
            "fax_number": "951-674-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 THIRD STREET",
            "address_2": "STE C",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925300000",
            "telephone_number": "951-674-5354",
            "fax_number": "951-674-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE RECOVERY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "TRUAX",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "951-674-5354",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "3300090N",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "330009ON",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omega/Beta Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.