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CHUCKAWALA VALLWY STATE PRISON
NPI 1356701494
Clinic/Center - Prison Health in Blythe, CA

Active since March 02, 2016
19025 WILEYS WELL RD, BLYTHE, CA 92225(760) 922-5300 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chuckawala Vallwy State Prison NPPES

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

CHUCKAWALA VALLWY STATE PRISON (NPI 1356701494) is a healthcare organization registered as a prison health in Blythe, California and active in the NPI registry since March 2016. The organization lists Michael Lee, Cme, as its authorized official.

NPPES Registry Identity

NPI1356701494
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameCHUCKAWALA VALLWY STATE PRISON
Location Address19025 WILEYS WELL RDBlythe, CA 92225-2287
Mailing Address19025 Wileys Well RdBlythe, CA 92225-2287 · (760) 922-5300
Phone(760) 922-5300
Organization SubpartNo
Authorized OfficialMichael LeeCme · (760) 922-5300
Enumeration DateMarch 2, 2016
✔ NPI 1356701494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
License✔ Licensed in CA · 63848
19025 WILEYS WELL RD, Blythe, CA 92225
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROMEO FELITO ANG JR. M.D.
Internal Medicine
19025 WILEYS WELL RD
BLYTHE, CA 92225
Riverside County (760) 922-5300
DR. MUENI LORRAINE MUTINGA DDS
Dentist (General Practice)
19025 WILEYS WELL RD
BLYTHE, CA 92225
Riverside County (760) 922-5300
DR. TONY TUAN NGUYEN PHARM.D
Pharmacist
19025 WILEYS WELL RD
BLYTHE, CA 92225
Riverside County (760) 922-5300
DR. JOSEPH MCDONNELL JR. PSYD
Psychologist (Clinical)
19025 WILEYS WELL RD
BLYTHE, CA 92225
Riverside County (760) 922-5300
BRITTANY ANN MARTINEZ NP
Nurse Practitioner (Family)
19025 WILEYS WELL RD
BLYTHE, CA 92225
Riverside County (760) 922-5300
DR. PHILIP MALDONADO DMD
Dentist
19025 WILEYS WELL RD
BLYTHE, CA 92225
Riverside County (760) 922-5300
DR. STEVEN J CARUSO PHD, LP, LMFT, MA
Psychologist (Clinical)
19025 WILEYS WELL RD
BLYTHE, CA 92225
Riverside County (760) 218-8063
DR. DAVID (NONE) DUNN M.D.
Internal Medicine
19025 WILEYS WELL RD
BLYTHE, CA 92225
Riverside County (760) 922-5000

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 Chuckawala Vallwy State Prison's NPI number?

The NPI number for Chuckawala Vallwy State Prison is 1356701494. It was assigned to this organization in the NPPES registry on March 2, 2016.

Where is Chuckawala Vallwy State Prison located?

Chuckawala Vallwy State Prison is located at 19025 Wileys Well Rd, Blythe, CA 92225. The listed phone number is (760) 922-5300.

What is Chuckawala Vallwy State Prison's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

When was this NPI record last updated?

The NPPES record for Chuckawala Vallwy State Prison was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.