RIVERSIDE SUBSTANCE USE PROGRAM
NPI 1316013972
Community/Behavioral Health in Riverside, CA

NPI Status: Active since November 27, 2006

Contact Information

2085 RUSTIN AVE
RIVERSIDE, CA
ZIP 92507
Phone: (951) 955-2105
Fax: (951) 955-8060

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 05D2300634
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-12-2026

About RIVERSIDE SUBSTANCE USE PROGRAM

This page provides the complete NPI Profile along with additional information for Riverside Substance Use Program, a provider established in Riverside, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1316013972 assigned on November 2006. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Riverside Substance Use Program. The authorized official of this NPI record is Dr. Matthew Chang (Director Ruhs - Behavioral Health)

NPI
1316013972
Provider Legal Name
COUNTY OF RIVERSIDE
Other Organization Name
RIVERSIDE SUBSTANCE USE PROGRAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2085 RUSTIN AVE RIVERSIDE, CA 92507
Location Phone
(951) 955-2105
Location Fax
(951) 955-8060
Mailing Address
3525 PRESLEY AVE RIVERSIDE, CA 92507
Mailing Phone
(951) 782-2400
Mailing Fax
(951) 955-8060
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2006
Last Update Date
09-09-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MATTHEW CHANG

Authorized Official Title
DIRECTOR RUHS - BEHAVIORAL HEALTH
Authorized Official Phone
(951) 358-4501

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3363MEDICAID (05)CA 
333363OTHER (01)CACADDS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2300634
Facility Type
Community Clinic
Certificate Effective Date
March 13, 2024
Certificate Expiration Date
March 12, 2026
Laboratory Director
MONICA TONE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Riverside Substance Use Program to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for RIVERSIDE SUBSTANCE USE PROGRAM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316013972
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326016914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 0 + 1 + 6 + 9 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1316013972 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174740161MS. HEATHER NICOLE SYLVESTER LCSW
Individual
Social Worker (Clinical)2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 955-7158
1770776775 SHEREE RENAE SUMMERS LMFT
Individual
Marriage & Family Therapist2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 955-7108
1427254564MISS AMY CHARLENE LEE M.MFT
Individual
Psychologist2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 955-7263
1528208600DR. YUNSANG CHOUN PSY. D.
Individual
Counselor (Mental Health)2085 RUSTIN AVE
RIVERSIDE, CA 92507
(310) 948-1390
1174924153 SALLY ALEJANDRA SOTO B.A
Individual
Counselor (Mental Health)2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 955-7263
1083085112 MAURICE VANLANCKER II
Individual
Behavior Analyst2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 955-8000
1225398324MRS. KATARINA KUCAVIKOVA-FILLIPPELLI MSW, ASW
Individual
Social Worker2085 RUSTIN AVE BUILDING 2, MAIL STOP 1448
RIVERSIDE, CA 92507
(951) 358-5730
1194121392 JACQUELYN SANCHEZ
Individual
Counselor (Mental Health)2085 RUSTIN AVE #5
RIVERSIDE, CA 92507
(951) 715-5040
1598111775 REBECCA LYNN SHUCK
Individual
Peer Specialist2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 509-2400
1326494345 CRISTEN COOK
Individual
Counselor (Mental Health)2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 955-7578
1023465127 MYRA LAREA QUIRK
Individual
Marriage & Family Therapist2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 955-7263
1811347453 BRENDA IRENE AVALOS
Individual
Counselor (Mental Health)2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 955-7263
1467802561 DEVONEIA JORDAN
Individual
Marriage & Family Therapist2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 955-7263
1497106215 MATTHEW PHILIP SASSO
Individual
Counselor (Mental Health)2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 955-7263
1902359953 ELIZABETH LLANES
Individual
Psychologist2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 509-8200
1508311234 PERCY GABRIEL QUIMPER
Individual
Counselor (Mental Health)2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 715-5040
1790177384MS. ANGELA MARIE ESPINOZA
Individual
Peer Specialist2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 715-5040
1346799285 SILVIA LINO LVN
Individual
Licensed Vocational Nurse2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 509-2400
1346783065 CLARK SANCHEZ
Individual
Peer Specialist2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 509-2400
1811250939 CYNTHIA A. PIERCY LMFT
Individual
Marriage & Family Therapist2085 RUSTIN AVE
RIVERSIDE, CA 92507
(951) 955-7320

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316013972, enumerated in the NPI registry as an "organization" on November 27, 2006

The provider is located at 2085 Rustin Ave Riverside, Ca 92507 and the phone number is (951) 955-2105

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D2300634 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.