Organization Active NPI

Mfi Recovery Center

  • Substance Abuse Rehabilitation Facility
  • San Jacinto, CA
National Provider Identifier
1346694817
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
330013SN Issued in CA
Legal business name
MFI RECOVERY CENTER
Practice address
2220 Girard Street
Suite B
San Jacinto, CA 92583-5301
Phone
(951) 683-6596
Fax
(951) 683-4239
NPI assigned
Apr 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Dr. Steven Hobson
Title
Chief Executive Officer
Phone
(951) 683-6596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 330013SN CA Primary

Addresses

Primary practice location

2220 Girard Street
Suite B
San Jacinto, CA 92583-5301

Mailing address

5870 Arlington Avenue
Riverside, CA 92504
Phone (951) 683-6596

Other identifiers 1

IdentifierTypeStateIssuer
02443200MedicaidCA

Other names 1

  • La Vista, A Program of MFI Recovery Center Other name

National Provider Directory

National Provider Directory
Tax ID family
La Sierra High School47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

2220 Girard St
#B
San Jacinto, CA 92583

2220 Girard St
Ste B
San Jacinto, CA 92583

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1346694817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 ARLINGTON AVENUE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92504",
            "telephone_number": "951-683-6596",
            "fax_number": "991-351-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GIRARD STREET",
            "address_2": "SUITE B",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835301",
            "telephone_number": "951-683-6596",
            "fax_number": "951-683-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFI RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "951-683-6596",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330013SN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02443200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Vista, A Program of MFI Recovery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "La Vista, A Program of MFI Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.