Active NPI
Rancho L'Abri Health Group, LLC
- Substance Abuse Rehabilitation Facility
- San Diego, CA
National Provider Identifier
1538472030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Rancho Bernardo Healthcare LLC (Seaport Scripps Home Health)
- Rancho Bernardo Hearing Services, Inc.
- Rancho Bernardo Medical Supply Inc
- Rancho Digius LLC
- Rancho Family Medical Group, Inc. (San Diego Medical Group Inc)
- Rancho Neurology and Sleep Medicine Inc
- Rand G Shuttle Service LLC
- Diane E. Rand, MD
- Michaela Rose Rand, MD
- Randal J. Vecchione M.D., Inc., a Professional Corporation
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.