ADULT MENTAL HEALTH SERVICES BLAINE
NPI 1063528891
Community/Behavioral Health in Riverside, CA

Active since August 22, 2006
769 W BLAINE ST, SUITE B, RIVERSIDE, CA 92507(951) 358-4705(951) 358-4719 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Adult Mental Health Services Blaine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADULT MENTAL HEALTH SERVICES BLAINE (NPI 1063528891) is a healthcare organization registered as a community/behavioral health in Riverside, California and active in the NPI registry since August 2006. The organization lists Matthew Chang, Director Of Ruhs-behavioral Health, as its authorized official.

NPPES Registry Identity

NPI1063528891
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOUNTY OF RIVERSIDE
Location Address769 W BLAINE ST, SUITE BRiverside, CA 92507-3970
Mailing AddressPo Box 7549Riverside, CA 92513-7549 · (951) 358-6900 · Fax (951) 358-6905
Fax(951) 358-4719
Organization SubpartNo
Authorized OfficialMatthew ChangDirector Of Ruhs-behavioral Health · (951) 358-4500
Enumeration DateAugust 22, 2006
Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1063528891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
769 W BLAINE ST, Riverside, CA 92507

Other Names 1

Doing Business AsAdult Mental Health Services Blaine

Other Identifiers 2

Other3315CA · State Provider
Other00033CA · Legal Entity

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adult Mental Health Services Blaine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040310001107Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

331

Medicare enrollment records show 331 clinicians reassign Medicare billing to Adult Mental Health Services Blaine, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 170 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Family Practice74
Psychiatry66
Nurse Practitioner39
Internal Medicine36
Hospitalist19
Clinical Social Worker14
Obstetrics/Gynecology13
Pediatric Medicine10
21 other specialties60

Nearest to this location (20)

See all 331
Psychiatry
NPI 1669434361
769 W BLAINE ST STE B
Riverside, CA 92507
(951) 358-4705
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1194013193
769 BLAINE STREET STE. B
Riverside, CA 92507
(951) 358-4705
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1366671992
769 W BLAINE ST SUITE B
Riverside, CA 92507
(951) 358-4705
✔ PECOSSame address
Psychiatry
NPI 1851598924
769 W BLAINE ST STE B
Riverside, CA 92507
(951) 358-4705
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1043203466
769 W BLAINE ST STE B
Riverside, CA 92507
(951) 358-4705
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1740577881
2085 RUSTIN AVE STE 5
Riverside, CA 92507
(951) 509-2400
✔ PECOS✔ Accepts Medicare0.8 mi
Psychiatry
NPI 1982898136
2085 RUSTIN AVE STE 5
Riverside, CA 92507
(951) 509-2400
✔ PECOS✔ Accepts Medicare0.8 mi
Marriage and Family Therapist
NPI 1053642991
2085 RUSTIN AVE
Riverside, CA 92507
(951) 602-3422
✔ PECOS0.8 mi
Clinical Social Worker
NPI 1497106215
2085 RUSTIN AVE
Riverside, CA 92507
(951) 955-7263
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1811438740
2880 HULEN PL
Riverside, CA 92507
(951) 595-4444
✔ PECOS1.5 mi
Registered Dietitian or Nutrition Professional
NPI 1548987498
5475 CANYON CREST DR APT 34
Riverside, CA 92507
(661) 609-0109
2.1 mi
Psychiatry
NPI 1184914970
3390 UNIVERSITY AVE STE 115
Riverside, CA 92501
(844) 827-8000
✔ PECOS✔ Accepts Medicare2.5 mi
Psychiatry
NPI 1265529515
3390 UNIVERSITY AVE STE 115
Riverside, CA 92501
(844) 827-8000
✔ PECOS✔ Accepts Medicare2.5 mi
Family Practice
NPI 1487700894
3390 UNIVERSITY AVE STE 100
Riverside, CA 92501
(844) 827-8000
✔ PECOS✔ Accepts Medicare2.5 mi
Family Practice
NPI 1699152819
3390 UNIVERSITY AVE STE 100
Riverside, CA 92501
(844) 827-8000
✔ PECOS2.5 mi
Nurse Practitioner
NPI 1164057022
11980 MOUNT VERNON AVE
Grand Terrace, CA 92313
(909) 864-1097
✔ PECOS✔ Accepts Medicare3.7 mi
Pediatric Medicine
NPI 1013394311
5256 MISSION BLVD
Jurupa Valley, CA 92509
(951) 955-5378
✔ PECOS4.1 mi
Internal Medicine
NPI 1811100530
5256 MISSION BLVD
Jurupa Valley, CA 92509
(951) 955-0840
✔ PECOS✔ Accepts Medicare4.1 mi
Internal Medicine
NPI 1851605554
5256 MISSION BLVD
Riverside, CA 92509
(951) 955-5310
✔ PECOS4.1 mi
Gastroenterology
NPI 1750647418
6927 BROCKTON AVE STE 2A
Riverside, CA 92506
(951) 224-9100
✔ PECOS✔ Accepts Medicare4.7 mi
See all 331 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Riverside's NPI number?

The NPI number for County Of Riverside is 1063528891. It was assigned to this organization in the NPPES registry on August 22, 2006. The provider is doing business as Adult Mental Health Services Blaine.

Where is County Of Riverside located?

County Of Riverside is located at 769 W Blaine St Suite B, Riverside, CA 92507. The listed phone number is (951) 358-4705.

What is County Of Riverside's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is County Of Riverside enrolled in Medicare?

Yes. County Of Riverside is registered in the Medicare PECOS enrollment system.

When is County Of Riverside's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through County Of Riverside?

According to the CMS Revalidation Reassignment List (October 2026 release), 331 clinicians in 29 Medicare specialties reassign their Medicare billing to County Of Riverside. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (74), Psychiatry (66) and Nurse Practitioner (39). Of these, 4 practice at this address and 170 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for County Of Riverside was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.