CRC HEALTH CARE (NPI# 1083928543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083928543 |
Entity Type | Organization |
Organization Name | CRC HEALTH CARE |
Other Organization Name | TEMECULA VALLEY COMPREHENSIVE TREATMENT |
Practice Address |
40700 California Oaks Rd Ste 202 Murrieta CA 92562-5789 |
Practice Telephone | 9518945072 |
Enumeration Date | 2010-07-27 |
Last Update Date | 2010-07-27 |
Authorized Official Name | MR. PRESTON BRYANT (COUNSELOR) |
Authorized Official Telephone | 9518945072 |
Authorized Official Credential | RAS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 302R00000X | Health Maintenance Organization | 33-07 | CA | Managed Care Organizations |
Y | 305R00000X | Preferred Provider Organization | CA10359M | CA | Managed Care Organizations |
Other Name | Type Code |
---|---|
Temecula Valley Comprehensive Treatment | Other Name - Individual/Organization |
Street Address |
40700 CALIFORNIA OAKS RD STE 202 |
City | MURRIETA |
State | CA |
Zip Code | 92562-5789 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699867911 | Catherine Ann Ruppe | Counselor | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2006-09-28 |
1144838210 | Mary Josephine Joseph | Licensed Vocational Nurse | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2020-07-15 |
1306484597 | Jose Daniel Roman | Licensed Vocational Nurse | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2019-12-18 |
1336787787 | Erika Ibarra | Licensed Vocational Nurse | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2019-12-17 |
1255993267 | Chanae Tarver | Licensed Vocational Nurse | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2019-07-01 |
1144884917 | Madeline Michelle Goza | Licensed Vocational Nurse | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2019-04-27 |
1699236224 | Deborah Katherine Sullivan | Counselor | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2019-03-27 |
1245713973 | Paula Bianca Raymundo Lim | Licensed Vocational Nurse | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2018-09-10 |
1669951554 | Sidney Sarfaty | Counselor | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2018-08-10 |
1245722768 | Janetta Margaret Lavell | Licensed Vocational Nurse | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2018-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
Find all providers in zip 92562 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205298296 | Hame Dental Corporation | Preferred Provider Organization | 40414 California Oaks Rd, Suite A, Murrieta, CA 92562-1946 | 2016-03-28 |
1134487895 | Cal Oaks Therapy Center | Preferred Provider Organization | 40976 California Oaks Rd, Murrieta, CA 92562-5747 | 2012-05-01 |
1518184886 | Pattie J Dimmette M D A Professional Corporation | Preferred Provider Organization | 25405 Hancock Ave Ste 101, Murrieta, CA 92562-5978 | 2007-04-19 |
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1154961142 | Hoag Physcian Partners | Preferred Provider Organization | 16148 Sand Canyon Ave Fl 2, Irvine, CA 92618-3700 | 2020-01-08 |
1356806525 | Premierone Plus Aco | Preferred Provider Organization | 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 | 2019-02-01 |
1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
1184100471 | Care Allies Ipa, Inc | Preferred Provider Organization | 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 | 2018-07-19 |
1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.