MR. ROBERT S MOFFITT (NPI# 1710170964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710170964 |
| Entity Type | Individual |
| Full Name | MR. ROBERT S MOFFITT |
| Credential | B.S. |
| Practice Address |
6355 Riverside Ave Riverside CA 92506-3163 |
| Mailing Address |
Po Box 2117 Colton CA 92324-0823 |
| Practice Telephone | 9513690219 |
| Practice Fax Number | 9516861029 |
| Mailing Telephone | 9514888036 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063553907 | Robert E Moffitt | Dentist | 7764 Armistead Rd, Suite 100, Lorton, VA 22079-1919 | 2007-02-12 |
| 1578566071 | Robert Moffitt | Internal Medicine | 3320 N 2nd St, Phoenix, AZ 85012 | 2005-05-27 |
| Street Address |
6355 RIVERSIDE AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710058185 | Sheryl Lynn Clemons | Occupational Therapist | 6355 Riverside Ave, Riverside, CA 92506-3163 | 2006-11-10 |
| 1609037803 | Akimi Lashantia Adkins | Licensed Vocational Nurse | 6355 Riverside Ave, Riverside, CA 92506-3163 | 2008-06-19 |
| 1073783825 | Leslie Shirley Echegoyen Soto | Counselor | 6355 Riverside Ave, Riverside, CA 92506-3163 | 2008-03-07 |
| 1083883573 | Peter O. Ruiz | Counselor | 6355 Riverside Ave, Riverside, CA 92506-3163 | 2008-02-28 |
| 1043498819 | Andrew Lee Jackson Jr. | Counselor | 6355 Riverside Ave, Riverside, CA 92506-3163 | 2008-02-04 |
| 1982888707 | Manaia Maiava | Counselor | 6355 Riverside Ave, Riverside, CA 92506-3163 | 2007-12-28 |
| 1013196849 | Dianna Sandra Taylor | Counselor | 6355 Riverside Ave, Riverside, CA 92506-3163 | 2007-10-29 |
| 1649459496 | Linda E Phelan | Marriage & Family Therapist | 6355 Riverside Ave, Riverside, CA 92506-3163 | 2007-10-29 |
| 1962681791 | Darcy Louis Booth | Counselor | 6355 Riverside Ave, Riverside, CA 92506-3163 | 2007-10-29 |
| 1801088547 | Rhett Benjie Casaus Munsayac | Counselor | 6355 Riverside Ave, Riverside, CA 92506-3163 | 2007-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1023638541 | Sarah Davidson-amici | Counselor | 2167 Buckskin Pl, Riverside, CA 92506-4608 | 2020-04-24 |
| 1790311470 | Melanie S David | Counselor | 11498 Pierce St Ste A&b, Riverside, CA 92505-3357 | 2020-03-13 |
| 1548890155 | Taylor Jean Robitzer I | Counselor | 16435 Trisha Way, Riverside, CA 92504-5731 | 2020-01-23 |
| 1043854714 | Marie Apke | Counselor | 493 Uvedale Rd, Riverside, IL 60546-1608 | 2019-11-05 |
| 1851934954 | Community Access Network | Counselor | 16542 Tava Ln, Riverside, CA 92504-5833 | 2019-10-21 |
| 1124661236 | Community Access Network | Counselor | 10631 Orchard View Ln, Riverside, CA 92503-6605 | 2019-10-21 |
| 1518519503 | Erica Elissa Sierra | Counselor | 2085 Rustin Ave Ofc 2157, Riverside, CA 92507-2498 | 2019-07-10 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1518445725 | Ryan Gregory Galippo | Counselor | 1625 14th Street, Riverside, CA 92513-7549 | 2018-07-31 |
| Find all providers in RIVERSIDE | ||||
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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.