NPIMap

Organization Active NPI

D & a Men'S Detox

  • Substance Abuse Rehabilitation Facility
  • Rancho Cordova, CA
National Provider Identifier
1245527324
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
340035GN Issued in CA
Legal business name
D & A MEN'S DETOX
Practice address
10590 Malaga Way
Rancho Cordova, CA 95670-3749
Phone
(916) 361-9867
Fax
(916) 361-9867
NPI assigned
Jul 8, 2011
Organization subpart
Yes
Parent organization
D & A DETOX CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Zelda Lee Troutman, RAS
Title
Ceo
Phone
(916) 284-1404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 340035GN CA Primary

Addresses

Primary practice location

10590 Malaga Way
Rancho Cordova, CA 95670-3749

Mailing address

9978 Folsom Blvd
Sacramento, CA 95827-1407
Phone (916) 364-3540

Other identifiers 1

IdentifierTypeStateIssuer
1366745622OtherCANONE

National Provider Directory

National Provider Directory
Tax ID family
D a Detox Center Inc4 organizations share this tax ID, including this one
Part of
D a Detox Center Inc

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1245527324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9978 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271407",
            "telephone_number": "916-364-3540",
            "fax_number": "916-364-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 MALAGA WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956703749",
            "telephone_number": "916-361-9867",
            "fax_number": "916-361-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & A MEN'S DETOX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D & A DETOX CENTER INC.",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "TROUTMAN",
        "authorized_official_first_name": "ZELDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-284-1404",
        "authorized_official_credential": "RAS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "340035GN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "1366745622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.