Valley Wide Recreation & Park District

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

330046AN Issued in CA

Legal business name

VALLEY WIDE RECREATION & PARK DISTRICT

Practice address

901 W. Esplanade Ave.
San Jacinto, CA 92582

Phone

(951) 654-1505

Fax

(951) 654-9927

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sam Goepp

Title

General Manager

Phone

(951) 654-1505

Specialties & licenses 1

Addresses

Other names 1

• Valley Wide Outreach Services Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992890305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 907",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92581",
            "telephone_number": "951-654-1505",
            "fax_number": "951-654-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W. ESPLANADE AVE.",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92582",
            "telephone_number": "951-654-1505",
            "fax_number": "951-654-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY WIDE RECREATION & PARK DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOEPP",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "951-654-1505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "330046AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Wide Outreach Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• United Family Pharmacy, LLC
• Cynthia Urrutia
• Karachy VA
• Maria Guadalupe Valdivia
• Valley Health Center Inc
• Eddie Vela
• Jose Luis Villa Jr., DDS
• Marivel Villarruel
• Visiting Nurse Hospice Service
• Tien Vo, MD

• Children's Substance Abuse Rehabilitation Facility in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Children's Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.