GINA IRVIN


Address: 771 W Blaine St # C, Riverside, CA 92507-3940
Phone: 9513584588

GINA IRVIN (NPI# 1558733824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558733824
Entity Type Individual
Full Name GINA IRVIN
Practice Address 771 W Blaine St # C
Riverside
CA 92507-3940
Practice Telephone 9513584588
Mailing Telephone 9513584588
Enumeration Date 2015-10-27
Last Update Date 2016-04-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 771 W BLAINE ST # C
City RIVERSIDE
State CA
Zip Code 92507-3940

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205448917 Rachel Nielson Counselor 1450 Spruce St, Suite A, Riverside, CA 92507 2020-08-24
1437769742 Pakravan, Manavi & Cohen Dental Corporation Dentist 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 2020-08-03
1518577972 Michael Vincent Laureola Dds Inc Dentist 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 2020-07-31
1164067567 Audrey Gruen Social Worker Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 2019-11-10
1518432962 Antonio Mixon Specialist 1405 Spruce Street, Suite A, Riverside, CA 92507 2018-10-11
1811479793 New Day Counseling Services Counselor 20363 Harvard Way, Riverside, CA 92507 2018-09-06
1780176875 Miriam Martinez Case Manager/Care Coordinator 2085 Rustin Ave., Riverside, CA 92507 2018-06-04
1518478874 Lisa Manuel Counselor 2058 Rustin Ave, Riverside, CA 92507 2017-10-13
1497272942 Yajaira Placensia Behavioral Analyst 1486 Everton Place, Riverside, CA 92507 2017-08-25
1841717691 Stephanie Teuchert Behavioral Analyst 1080 Spruce Street Apartment 7c, Riverside, CA 92507 2017-08-23
Find all providers in zip 92507

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477047835 Deborah Kay Allen Peer Specialist 6939 Morningside Ave, Riverside, CA 92504 2018-06-19
1053802769 Miesha Hale Peer Specialist 1820 University Ave Ste 2b, Riverside, CA 92507-5355 2018-05-29
1538677612 Monica Munoz Peer Specialist 9991c County Farm Rd, Riverside, CA 92503-3506 2018-01-11
1457860306 Leah Dreany Peer Specialist 2085 Rustin Avenue Building #3, Riverside, CA 92503 2017-09-22
1043738099 Colene Lavonne Roberts Peer Specialist 9890 County Farm Rd # 2, Riverside, CA 92503-3505 2017-08-30
1710400445 Christopher John Guting Peer Specialist 10230 Indiana Avenue, Riverside, CA 92503 2017-07-25
1841713203 Denise Darlene Leeper Peer Specialist 771 W. Blaine St, Suite C., Riverside, CA 92507 2017-07-18
1427590058 Jennifer Hayford Peer Specialist 3250 Panorama Rd Apt 139, Riverside, CA 92506-1351 2016-11-14
1144693953 Michelle Elaine Martinez Peer Specialist 5012 Arlington Ave, Riverside, CA 92504-2710 2015-11-03
1487916136 East Bay Community Action Program Peer Specialist 100 Bullocks Point, Riverside, RI 02915 2012-06-08
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92507

Improve Information

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Dataset Information

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.

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