COUNTY OF SAN BERNARDINO (NPI# 1306495627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306495627 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SAN BERNARDINO |
| Other Organization Name | INNROADS - WESTERN MOUNTAINS/MORONGO BASIN |
| Practice Address |
63665 29 Palms Hwy Joshua Tree CA 92252-6613 |
| Mailing Address |
303 E Vanderbilt Way San Bernardino CA 92415-0026 |
| Practice Telephone | 7603664175 |
| Mailing Telephone | 9093880900 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | MS. ERICA PORTEOUS (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 9093880879 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEPARTMENT OF BEHAVIORAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| InnROADs - Western Mountains/Morongo Basin | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931572 | County of San Bernardino | Community/Behavioral Health | 351 N Mt View Ave San Bernardino Ca 92415, San Bernardino, CA 92415-0001 | 2019-09-13 |
| 1063061117 | County of San Bernardino | Community/Behavioral Health | 9445 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0930 | 2019-09-10 |
| 1891344115 | County of San Bernardino | Community/Behavioral Health | 14931 Dale Evans Pkwy, Apple Valley, CA 92307-3061 | 2019-09-09 |
| 1568947323 | County of San Bernardino | Community/Behavioral Health | 15345 Bonanza Rd, Victorville, CA 92392-2499 | 2018-09-27 |
| 1619452547 | County of San Bernardino | Community/Behavioral Health | 900 E Gilbert St Bldg 31, San Bernardino, CA 92415-0911 | 2018-09-26 |
| 1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
| 1912258633 | County of San Bernardino | Clinic/Center | 17830 Arrow Blvd., Fontana, CA 92335 | 2012-09-20 |
| 1285870469 | County of San Bernardino | Public Health or Welfare | 11336 Bartlett Ave #11, Adelanto, CA 92301 | 2008-12-18 |
| 1871764175 | County of San Bernardino | Early Intervention Provider Agency | North & South Bound I-15, @ Zzz, Baker, CA 92309 | 2008-03-14 |
| 1588834451 | County of San Bernardino | Public Health or Welfare | 150 E Holt Ave, Ontario, CA 91761 | 2008-03-07 |
| Street Address |
63665 29 PALMS HWY |
| City | JOSHUA TREE |
| State | CA |
| Zip Code | 92252-6613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609405992 | Micheline Helou | Nurse Practitioner | 63532 Twentynine Palms Highway, Joshua Tree, CA 92252 | 2020-04-07 |
| 1821558164 | Lisa Brown | Nurse Practitioner | 63532 29 Palms Hwy., Suite C, Joshua Tree, CA 92252 | 2019-03-22 |
| 1861990053 | Candice Amber Packard | Marriage & Family Therapist | 60805 29 Palms Hwy, Joshua Tree, CA 92252 | 2018-01-23 |
| 1194195529 | Jacob Edward Sanchez | Counselor | 60805 Twentynine Palms Hwy., Joshua Tree, CA 92252 | 2015-09-28 |
| 1023404357 | American Health Services LLC | Substance Abuse Rehabilitation Facility | 65675 Sullivan Rd., Joshua Tree, CA 92252 | 2015-04-14 |
| 1699940486 | Lee, Wee &baek. Dds. Inc | Clinic/Center | 61325 29palms Hwy.ste.a, Joshua Tree, CA 92252 | 2008-04-23 |
| 1447420690 | County of San Bernardino | Public Health or Welfare | 63532 29 Palms Highway, Suite D, Joshua Tree, CA 92252 | 2008-03-04 |
| 1861671679 | Lisa L Surace | Marriage & Family Therapist | 63532 Twentynine Palms Hwy, Suite C, Joshua Tree, CA 92252 | 2007-10-29 |
| 1821285271 | Morongo Basin Mental Health Services Ass., Inc | Substance Abuse Rehabilitation Facility | 65675 Sullivan Rd, Joshua Tree, CA 92252 | 2007-10-01 |
| 1295872067 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 60950 Sunburst, Joshua Tree, CA 92252 | 2007-01-31 |
| Find all providers in zip 92252 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | JOSHUA TREE |
| Zip Code | 92252 |
Please comment or provide details below to improve the information on COUNTY OF SAN BERNARDINO.
| 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.