THE MAKADE FOUNDATION INC NPI 1104759422

NPI Information

  • NPI: 1104759422
  • Provider Name: THE MAKADE FOUNDATION INC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 19429 FORTUNELLO AVE
    RIVERSIDE, CA
    ZIP 92508
  • Phone: (951) 201-1908

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NPI Details

THE MAKADE FOUNDATION INC is a mental health counselor in Riverside, CA. THE MAKADE FOUNDATION INC NPI is 1104759422. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19429 FORTUNELLO AVE
RIVERSIDE, CA
ZIP 92508-140
Phone: (951) 201-1908

The provider's authorized official is Jorge Cervantes .
The authorized official title is Ceo and has the following contact phone number (951) 201-1908.

The enumeration date for this NPI number is 6/5/2026 and was last updated on 6/5/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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