RILEY MOHR NPI 1255949822

NPI Information

  • NPI: 1255949822
  • Provider Name: RILEY MOHR
  • Classification: Technician, Other - 247200000X
  • Entity Type: Individual
  • Address: 5511 RAINBOW CIR
    SANTA ROSA, CA
    ZIP 95409
  • Phone: (707) 328-0752

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NPI Details

Riley Mohr is a technician other in Santa Rosa, CA. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Riley Mohr NPI is 1255949822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5511 RAINBOW CIR
SANTA ROSA, CA
ZIP 95409-377
Phone: (707) 328-0752

The enumeration date for this NPI number is 7/20/2020 and was last updated on 7/20/2020.

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
1247200000XTechnician, OtherYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116612044MEDICAIDCALIFORNIA

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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