NPIMap

Organization Active NPI

Drug Abuse Alternatives Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1063623593
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
DRUG ABUSE ALTERNATIVES CENTER
Practice address
2403 Professional Dr
Suite 101
Santa Rosa, CA 95403-3007
Phone
(707) 544-3295
Fax
(707) 544-9011
NPI assigned
May 25, 2007
Organization subpart
Yes
Parent organization
DRUG ABUSE ALTERNATIVES CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Mr. John Challis
Title
Center Point Vice President, Daac
Phone
(415) 526-2943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2403 Professional Dr
Suite 101
Santa Rosa, CA 95403-3007

Mailing address

2403 Professional Dr
Suite 102
Santa Rosa, CA 95403-3007
Phone (707) 544-3295

Other names 1

  • Outpatient Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200429001289 CA Part B Supplier - Opioid Treatment Program (Otp) 2668802943 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Rosa, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Drug Abuse Alternatives Ctr10 organizations share this tax ID, including this one
Part of
Drug Abuse Alternatives Ctr

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1063623593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 PROFESSIONAL DR",
            "address_2": "SUITE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033007",
            "telephone_number": "707-544-3295",
            "fax_number": "707-544-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 PROFESSIONAL DR",
            "address_2": "SUITE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033007",
            "telephone_number": "707-544-3295",
            "fax_number": "707-544-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG ABUSE ALTERNATIVES CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRUG ABUSE ALTERNATIVES CENTER",
        "enumeration_date": "2007-05-25",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "CHALLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CENTER POINT VICE PRESIDENT, DAAC",
        "authorized_official_telephone_number": "415-526-2943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.