San Diego Detox

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SAN DIEGO DETOX

Practice address

9480 Pats Point Dr
Corona, CA 92883-5014

Phone

(951) 319-7995

NPI assigned

Sep 14, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jason Monroe

Title

Chief Operating Officer

Phone

(602) 550-2211

Specialties & licenses 1

Addresses

Tax ID family

San Diego Detox2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• San Diego Detox

  • Substance Abuse Rehabilitation Facility
  • Corona, CA
  • NPI 1578084257
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1043768484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900515610",
            "telephone_number": "855-277-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 PATS POINT DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928835014",
            "telephone_number": "951-319-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "602-550-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameer Ohri MD Inc
• Heidi Sammons, LMFT
• Sampeah Group, Inc.
• Dana Sampson
• Sams West Inc
• San Diego Detox
• Heather Sanborn
• David Sanchez de la Cruz
• Lizbeth Sanchez-Castaneda
• Jennifer Lynn Sanchez-Duell

• Substance Abuse Rehabilitation Facility in Corona, CA
• Providers in Corona, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.