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KIM PETRA BAILEY
NPI 1609470202
Peer Specialist in Corona, CA

Active since November 24, 2020
2813 S MAIN ST, CORONA, CA 92882(951) 273-0608 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, Jun 5, 2023, May 31, 2023 and 1 more (4 updates tracked since 2020).

About Kim Petra Bailey NPPES

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

KIM PETRA BAILEY (NPI 1609470202) is an individual peer specialist in Corona, California and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1609470202
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKIM PETRA BAILEY
Location Address2813 S MAIN STCorona, CA 92882-5942
Mailing Address4740 N Grand AveCovina, CA 91724-2005 · (626) 859-2089 · Fax (626) 859-6537
Phone(951) 273-0608
Sole ProprietorNo
Enumeration DateNovember 24, 2020
Last NPPES UpdateJuly 15, 20244 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1609470202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
2813 S MAIN ST, Corona, CA 92882
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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.

RAGHDA SAKO
Marriage & Family Therapist
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 273-0608
CHANEL BRIANA FAUWTS-WATKINS
Peer Specialist
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 358-6572
COUNTY OF RIVERSIDE
Clinic/Center (Federally Qualified Health Center (FQHC))
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 272-5445
RUHS-CORONA PHARMACY
Pharmacy (Community/Retail Pharmacy)
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 955-0111
LARISSA MARY BARTON ANDERSON
Case Manager/Care Coordinator
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 737-2962
TOWNSEND MUNOZ-MOCTEZUMA
Peer Specialist
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 737-2962
JONATHAN MARSHALL CASTRO
Marriage & Family Therapist
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 737-2962
RUBEN ROBERT CORTZ
Counselor (Addiction (Substance Use Disorder))
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 737-2962

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 Kim Bailey's NPI number?

The NPI number for Kim Bailey is 1609470202. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Kim Bailey located?

Kim Bailey practices at 2813 S Main St, Corona, CA 92882. The listed phone number is (951) 273-0608.

What is Kim Bailey'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 Kim Bailey was last updated on July 15, 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.