Organization Active NPI

Rancho L'Abri Health Group, LLC

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1538472030
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RANCHO L'ABRI HEALTH GROUP, LLC
Practice address
3777 4TH Ave
San Diego, CA 92103-4202
Phone
(619) 704-3737
Fax
(619) 468-9390
NPI assigned
Jul 26, 2010
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Mr. David G Newson
Title
Ceo
Phone
(858) 210-0598

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Psychologist 103TA0400X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

3777 4TH Ave
San Diego, CA 92103-4202

Mailing address

4660 La Jolla Village Dr
Suite 500
San Diego, CA 92122-4601
Phone (858) 210-0598

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1538472030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 LA JOLLA VILLAGE DR",
            "address_2": "SUITE 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224601",
            "telephone_number": "858-210-0598",
            "fax_number": "858-210-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034202",
            "telephone_number": "619-704-3737",
            "fax_number": "619-468-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO L'ABRI HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "NEWSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-210-0598",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

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