Milestone Detox, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MILESTONE DETOX, LLC

Practice address

31981 Calle Winona
San Juan Capistrano, CA 92675-3076

Phone

(949) 344-8149

NPI assigned

Jan 3, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Whitt

Title

Ceo

Phone

(949) 344-8149

Specialties & licenses 1

Addresses

Tax ID family

Milestone Detox LLC2 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.

• Milestone Detox, LLC

  dba Milestone Detox

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Temecula, CA
  • NPI 1831605047
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Milestone Detox, LLC

  dba Milestone Detox

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Temecula, CA
  • NPI 1831605047
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cesar Burguillos Cabrera, CATC V

  • Addiction (Substance Use Disorder) Counselor
  • Mission Viejo, CA
  • NPI 1790404036
  NPD

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1164888442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 W 17TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274503",
            "telephone_number": "949-388-4114",
            "fax_number": "949-203-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31981 CALLE WINONA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753076",
            "telephone_number": "949-344-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE DETOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-03",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "WHITT",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-344-8149",
        "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": []
}

• Molly Meza, PHN
• Michael Kim DDS, PC (Ortega Cottage Dentistry)
• Michael Shalhoub, D.C a Chiropractic Corp (Mission Chiropractic Center)
• Michelle P Ahumada, OD, a Professional Optometric Corporation (What a Spectacle Optometry)
• Rami Mikha, DDS
• Milestone Healthcare LLC
• Madison Miranda
• Tannia Miranda
• Mission Optometric Center
• Mission Viejo Counseling Inc

• Substance Use Disorder Rehabilitation Clinic/Center in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.