Healthcare Provider Details

I. General information

NPI: 1053292342
Provider Name (Legal Business Name): NURTURING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11801 PIERCE ST STE 200
RIVERSIDE CA
92505-4400
US

IV. Provider business mailing address

11801 PIERCE ST STE 200
RIVERSIDE CA
92505-4400
US

V. Phone/Fax

Practice location:
  • Phone: 323-622-4911
  • Fax: 949-669-1331
Mailing address:
  • Phone: 323-622-4911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DIJON WASHINGTON
Title or Position: MANAGING PARTNER
Credential:
Phone: 714-341-9118