JUSTIN MANUEL AMARAL — NPI 1720373939 (Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children in RICHMOND, CA)

CMS-1500 Box 24J / 33a • NPI

1720373939

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

322D00000X

Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children

Box 32 Service Location & ZIP+4

4501 TAFT AVE, RICHMOND, CA, 94804-3449

✓ 9-Digit EDI 837 ZIP+4 (94804-3449)

Practice Phone & Referral Fax

(510) 235-3172

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1720373939 (JUSTIN MANUEL AMARAL) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1720373939` (NPI-1 Individual Practitioner)
Provider / Legal Name	JUSTIN MANUEL AMARAL
Plain-English Specialty	Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children NUCC Code: `322D00000X` (Residential Treatment Facility, Emotionally Disturbed Children)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4501 TAFT AVE, RICHMOND, CA, 94804-3449
Practice Telephone / Fax	Tel: (510) 235-3172
Administrative Mailing Address	180 RIVERVIEW DR, PITTSBURG, CA, 94565-5732
Enumeration & Last Sync	Enumerated: 2011-06-15 \| CMS Record Updated: 2011-06-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4501 TAFT AVE, RICHMOND, CA, 94804-3449

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Plain-English Taxonomy & CMS Crosswalk (322D00000X)

What Does Taxonomy Code 322D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 322D00000X translates to:
"Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Residential Treatment Facility, Emotionally Disturbed Children for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JUSTIN MANUEL AMARAL)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`322D00000X` — Residential Treatment Facility, Emotionally Disturbed Children Plain English: Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children	State: CA \| License: `075600636` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JUSTIN MANUEL AMARAL (NPI #1720373939)