ERICK RENDEROS
NPI 1699557074
Social Worker in Riverside, CA

Q: What is Erick Renderos's NPI number?

The NPI number for Erick Renderos is 1699557074. It was assigned to this individual provider in the NPPES registry on October 19, 2023.

Q: What is Erick Renderos's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Erick Renderos was last updated on December 5, 2023. 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.

Active since October 19, 2023PECOS Enrolled

3125 MYERS ST, RIVERSIDE, CA 92503(714) 509-8521 Get Directions Write a Review

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

Record update history: Dec 5, 2023, Oct 19, 2023 (2 updates tracked since 2023).

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About Erick Renderos NPPES

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

ERICK RENDEROS (NPI 1699557074) is an individual social worker in Riverside, California and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699557074

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameERICK RENDEROS

Location Address3125 MYERS STRiverside, CA 92503-5527

Mailing Address1201 W La Veta AveOrange, CA 92868-4203 · (714) 509-8521

Phone(714) 509-8521

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 19, 2023

Last NPPES UpdateDecember 5, 20232 updates tracked since enumeration

NPPES CertifiedDecember 5, 2023

✔ NPI 1699557074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

3125 MYERS ST, Riverside, CA 92503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erick Renderos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113419623

PECOS Enrollment IDI20251121004197

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. DALIA N BALSAMO M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)