INLAND EMPIRE BEHAVIORAL GROUP NURSING CORPORATION
NPI 1104570282
Clinic/Center - Multi-Specialty in Riverside, CA
About Inland Empire Behavioral Group Nursing Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INLAND EMPIRE BEHAVIORAL GROUP NURSING CORPORATION (NPI 1104570282) is a healthcare organization registered as a multi-specialty in Riverside, California and active in the NPI registry since February 2022. The organization maintains a secondary practice location in Colton and lists Khadija Hamuche Hamisi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Inland Empire Behavioral Group Nursing Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Inland Empire Behavioral Group Nursing Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
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 Inland Empire Behavioral Group Nursing Corporation's NPI number?
The NPI number for Inland Empire Behavioral Group Nursing Corporation is 1104570282. It was assigned to this organization in the NPPES registry on February 8, 2022.
Where is Inland Empire Behavioral Group Nursing Corporation located?
Inland Empire Behavioral Group Nursing Corporation is located at 11801 Pierce St Ste 200, Riverside, CA 92505. The listed phone number is (909) 429-3244.
What is Inland Empire Behavioral Group Nursing Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Inland Empire Behavioral Group Nursing Corporation enrolled in Medicare?
Yes. Inland Empire Behavioral Group Nursing Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Inland Empire Behavioral Group Nursing Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Inland Empire Behavioral Group Nursing Corporation. 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 Nurse Practitioner (6), Psychiatry (2) and Marriage and Family Therapist (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Inland Empire Behavioral Group Nursing Corporation was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Inland Empire Behavioral Group Nursing Corporation · NPI 1104570282
Multi-Specialty organization in Riverside, California. Organization record, active in the CMS NPPES registry since February 8, 2022.
## Identity
- **NPI:** 1104570282 (Entity type: Organization)
- **Enumerated:** February 8, 2022
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Khadija Hamisi, CEO
## Practice location
- **Address:** 11801 PIERCE ST STE 200, Riverside, CA 92505-3907
- **Phone:** (909) 429-3244 · **Fax:** (909) 981-0821
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Psychiatry (2), Marriage and Family Therapist (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104570282) · Data from the CMS NPPES public registry.