IRVIN OMAR JUAREZ NPI 1528711280

NPI Information

  • NPI: 1528711280
  • Provider Name: IRVIN OMAR JUAREZ
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 851 S MOUNT VERNON AVE STE 7A
    COLTON, CA
    ZIP 92324
  • Phone: (760) 241-6044

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NPI Details

Irvin Omar Juarez is a mental health counselor in Colton, CA with 5 years of experience. Irvin Omar Juarez NPI is 1528711280. 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:

851 S MOUNT VERNON AVE STE 7A
COLTON, CA
ZIP 92324-926
Phone: (760) 241-6044

The NPI 1528711280 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/1/2022 and was last updated on 2/1/2022.

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
1101Y00000XCounselor130893CALIFORNIANo
2101YP2500XCounselorProfessional130893CALIFORNIANo
3101YM0800XCounselorMental Health130893CALIFORNIAYes
4101YA0400XCounselorAddiction (Substance Use Disorder)130893CALIFORNIANo

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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