GABRIELLE J ANTILLON
NPI 1972259422
Peer Specialist in Moreno Valley, CA

Q: What is Gabrielle Antillon's NPI number?

The NPI number for Gabrielle Antillon is 1972259422. It was assigned to this individual provider in the NPPES registry on February 23, 2022.

Q: What is Gabrielle Antillon's specialty?

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

Active since February 23, 2022

13800 HEACOCK ST STE C220, MORENO VALLEY, CA 92553(951) 653-1800(951) 653-1815 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Oct 20, 2023, Jul 27, 2023 and 2 more (5 updates tracked since 2022).

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About Gabrielle J Antillon NPPES

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

GABRIELLE J ANTILLON (NPI 1972259422) is an individual peer specialist in Moreno Valley, California and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1972259422

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameGABRIELLE J ANTILLON

Location Address13800 HEACOCK ST STE C220Moreno Valley, CA 92553-3363

Mailing Address13800 Heacock St Ste C220Moreno Valley, CA 92553-3363 · (951) 653-1800 · Fax (951) 653-1815

Phone(951) 653-1800

Fax(951) 653-1815

Sole ProprietorNo

Enumeration DateFebruary 23, 2022

Last NPPES UpdateOctober 23, 20245 updates tracked since enumeration

NPPES CertifiedOctober 23, 2024

✔ NPI 1972259422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

13800 HEACOCK ST STE C220, Moreno Valley, CA 92553

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Other Providers at the Same Location NPPES 15

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

ROCIO SAAVEDRA

Case Manager/Care Coordinator