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JOSE LUIS MENDIVIL JR.
NPI 1417785825
Peer Specialist in Riverside, CA

Active since July 25, 2024
3525 PRESLEY AVE, RIVERSIDE, CA 92507(951) 955-9375 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2025, Aug 6, 2024, Jul 25, 2024 (3 updates tracked since 2024).

About Jose Luis Mendivil Jr. NPPES

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

JOSE LUIS MENDIVIL JR. (NPI 1417785825) is an individual peer specialist in Riverside, California, licensed in California (MPSS-SNQMUV) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1417785825
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOSE LUIS MENDIVIL JR.
Location Address3525 PRESLEY AVERiverside, CA 92507-4453
Mailing Address3525 Presley Ave Ste 12Riverside, CA 92507-4453 · (951) 955-9375
Phone(951) 955-9375
Sole ProprietorYes
Enumeration DateJuly 25, 2024
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1417785825 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-SNQMUV
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.
3525 PRESLEY AVE, Riverside, CA 92507
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Other Providers at the Same Location NPPES 20

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

STACEY BARNETT
Case Manager/Care Coordinator
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-1813
STEVE LUNA
Case Manager/Care Coordinator
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 782-5005
ME'LISSA A HOGLE CADC II
Counselor (Addiction (Substance Use Disorder))
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-6997
MRS. KRISTEN DON'NET DUFFY
Peer Specialist
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-2499
KELLY STEPHANIE PEREZ
Counselor (Addiction (Substance Use Disorder))
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-0971
SARAH STAGER
Counselor (Addiction (Substance Use Disorder))
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (051) 955-6997
MS. MARIE THERESE FONSECA CADACI
Counselor (Addiction (Substance Use Disorder))
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 486-2651
ASHLEY DANIELLE DAVIDS
Case Manager/Care Coordinator
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-7620

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 Jose Mendivil's NPI number?

The NPI number for Jose Mendivil is 1417785825. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Jose Mendivil located?

Jose Mendivil practices at 3525 Presley Ave, Riverside, CA 92507. The listed phone number is (951) 955-9375.

What is Jose Mendivil'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 Jose Mendivil was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.