Healthcare Provider Details

I. General information

NPI: 1619891488
Provider Name (Legal Business Name): WORTHYHUMANS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 LA MART DR STE 100B5
RIVERSIDE CA
92507-5994
US

IV. Provider business mailing address

5005 LA MART DR STE 100B5
RIVERSIDE CA
92507-5994
US

V. Phone/Fax

Practice location:
  • Phone: 951-662-7419
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: BRUSE GIBSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 951-662-7419