HUMPHREY MOORE (NPI# 1720417322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720417322 |
| Entity Type | Individual |
| Full Name | HUMPHREY MOORE |
| Credential | RRW |
| Practice Address |
3576 Arlington Ave Ste 102 Riverside CA 92506-3907 |
| Practice Telephone | 9517829577 |
| Practice Fax Number | 9517829521 |
| Mailing Telephone | 9517829577 |
| Mailing Fax Number | 9517829521 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
3576 ARLINGTON AVE STE 102 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194028027 | Emmett Hazelwood | Counselor | 3576 Arlington Ave Ste 102, Riverside, CA 92506-3907 | 2010-12-15 |
| 1720636277 | Elissa Gropen Dermatology, Inc. | Dermatology | 3576 Arlington Ave Ste 102, Riverside, CA 92506-3907 | 2019-08-28 |
| 1205377363 | Danielle Clark | Counselor | 3576 Arlington Ave Ste 102, Riverside, CA 92506-3907 | 2017-03-09 |
| 1417492968 | Marilyn Potts | Counselor | 3576 Arlington Ave Ste 102, Riverside, CA 92506-3907 | 2016-12-19 |
| 1225570310 | Sabrina Renee Barragan | Counselor | 3576 Arlington Ave Ste 102, Riverside, CA 92506-3907 | 2016-11-07 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884248 | Jose G. Cruz Rodriguez | Counselor | 66 Planet Ave, Riverside, RI 02915-2172 | 2020-09-02 |
| 1124585500 | Cesar Quintana | Counselor | 7177 Brockton Ave Ste 444, Riverside, CA 92506-2635 | 2019-02-21 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750895298 | Tanisha Jordan Balogun | Counselor | 17270 Roosevelt St # 304, Riverside, CA 92508-9523 | 2017-11-20 |
| 1790207058 | Albert Anthony Silva | Counselor | 80 Cove St, Riverside, RI 02915-3637 | 2017-07-07 |
| 1972040061 | Tim O'connell | Counselor | 2085 Rustin Ave Bldg 1, Riverside, CA 92507-2498 | 2017-01-26 |
| 1215397757 | Renee Machado | Counselor | 5484 Cedar St, Riverside, CA 92509-3746 | 2016-02-25 |
| 1831561299 | Alysia Webb | Counselor | 11359 Dole Ct, Riverside, CA 92505-2353 | 2015-10-26 |
| 1053796110 | Jessica Anne Pellegrin | Counselor | 3576 Arlington Ave Suite 102 & 104, Riverside, CA 92506-3907 | 2015-07-29 |
| 1346632379 | Jessica Molina | Counselor | 6860 Brockton Ave # 9, Riverside, CA 92506-3821 | 2015-02-27 |
| 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.