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JUAN CARLO KOONTZ
NPI 1134823487
Peer Specialist in Riverside, CA

Active since March 29, 2023
2085 RUSTIN AVE UNIT 2, RIVERSIDE, CA 92507(951) 955-2501 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, Mar 29, 2023 (2 updates tracked since 2023).

About Juan Carlo Koontz NPPES

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

JUAN CARLO KOONTZ (NPI 1134823487) is an individual peer specialist in Riverside, California, licensed in California (MPSS-WNVUHS) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1134823487
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJUAN CARLO KOONTZ
Location Address2085 RUSTIN AVE UNIT 2Riverside, CA 92507-2498
Mailing Address200 E Alessandro Blvd Unit 44Riverside, CA 92508-6170 · (951) 419-1814
Phone(951) 955-2501
Sole ProprietorYes
Enumeration DateMarch 29, 2023
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1134823487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-WNVUHS
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2085 RUSTIN AVE UNIT 2, Riverside, CA 92507
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Other Names 1

Former Name (1)Juan Carlo Pantoja

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 Juan Koontz's NPI number?

The NPI number for Juan Koontz is 1134823487. It was assigned to this individual provider in the NPPES registry on March 29, 2023. The provider is also known as Juan Carlo Pantoja.

Where is Juan Koontz located?

Juan Koontz practices at 2085 Rustin Ave Unit 2, Riverside, CA 92507. The listed phone number is (951) 955-2501.

What is Juan Koontz's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Juan Koontz was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.