NPIMap

Organization Active NPI

Benchmark Young Adult School, Inc.

  • Substance Abuse Rehabilitation Facility
  • Yucaipa, CA
National Provider Identifier
1386166106
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
360099AP Issued in CA
Legal business name
BENCHMARK YOUNG ADULT SCHOOL, INC.
Practice address
36442 Wildwood Canyon Rd
Yucaipa, CA 92399-5274
Phone
(800) 474-4848
Fax
(909) 793-4499
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dawn Tardiff
Title
Business Manager
Phone
(909) 451-8334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 360099AP CA Primary

Addresses

Primary practice location

36442 Wildwood Canyon Rd
Yucaipa, CA 92399-5274

Mailing address

1910 Orange Tree LN Ste 300
Redlands, CA 92374-4500
Phone (909) 340-9815

Other names 2

  • Benchmark Transitions Doing business as
  • Benchmark Transitons Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benchmark Young Adult School Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1386166106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ORANGE TREE LN STE 300",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744500",
            "telephone_number": "909-340-9815",
            "fax_number": "909-748-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36442 WILDWOOD CANYON RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923995274",
            "telephone_number": "800-474-4848",
            "fax_number": "909-793-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK YOUNG ADULT SCHOOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "TARDIFF",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "909-451-8334"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "360099AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benchmark Transitions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benchmark Transitions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benchmark Transitons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.