Active NPI
County of Riverisde
- Community/Behavioral Health Agency
- Perris, CA
National Provider Identifier
1992217558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COUNTY OF RIVERISDE
- Practice address
- 2560 N Perris Blvd Ste N1
Perris, CA 92571-3251 - Phone
- (951) 358-4267
- NPI assigned
- Nov 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Chang
- Title
- Director Ruhs - Behavioral Health
- Phone
- (951) 358-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2560 N Perris Blvd Ste N1
Perris, CA 92571-3251
Mailing address
4095 County Circle Dr
Riverside, CA 92503-3410
Phone (951) 358-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00033 | Other | CA | LEGAL ENTITY |
Other names 2
- TAY Mid-County Drop-In
- YOUTH ECM MID COUNTY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310001107 | CA | Part B Supplier - Clinic/Group Practice | 6507754488 |
Receives reassigned benefits from 362 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Riverside County Dept
Organizations with this tax ID in the same state 13
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Public Health or Welfare Agency
- Corona, CA
- NPI 1962575779
-
- Community/Behavioral Health Agency
- Cathedral City, CA
- NPI 1962700492
-
- Community/Behavioral Health Agency
- San Jacinto, CA
- NPI 1962873539
-
- Public Health or Welfare Agency
- Hemet, CA
- NPI 1972676468
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1972755726
-
- Community/Behavioral Health Agency
- Lake Elsinore, CA
- NPI 1982094629
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1982224168
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1982422853
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1992135602
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1962493288
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1992796338
-
- Mental Illness Intermediate Care Facility
- Riverside, CA
- NPI 1972644854
Locations
2560 N Perris Blvd
Ste N1
Perris, CA 92571
Phone (951) 358-4267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1992217558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4095 COUNTY CIRCLE DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033410",
"telephone_number": "951-358-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 N PERRIS BLVD STE N1",
"city": "PERRIS",
"state": "CA",
"postal_code": "925713251",
"telephone_number": "951-358-4267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF RIVERISDE",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-03",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "DIRECTOR RUHS - BEHAVIORAL HEALTH",
"authorized_official_telephone_number": "951-358-4500",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEGAL ENTITY",
"identifier": "00033",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TAY Mid-County Drop-In",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TAY Mid-County Drop-In",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "YOUTH ECM MID COUNTY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.