Organization Active NPI

Southern California Addiction Center

  • Substance Abuse Rehabilitation Facility
  • Temecula, CA
National Provider Identifier
1609389162
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
330146DP Issued in CA
Legal business name
SOUTHERN CALIFORNIA ADDICTION CENTER
Practice address
44764 Mumm St
Temecula, CA 92592-5546
Phone
(714) 619-5081
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Aaron Brower
Title
President
Phone
(714) 619-5081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 330146DP CA Primary

Addresses

Primary practice location

44764 Mumm St
Temecula, CA 92592-5546

Mailing address

44065 Margarita Rd
Temecula, CA 92592-2741
Phone (714) 619-5081

National Provider Directory

National Provider Directory
Tax ID family
Southern California Addiction Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1609389162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44065 MARGARITA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922741",
            "telephone_number": "714-619-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44764 MUMM ST",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925546",
            "telephone_number": "714-619-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA ADDICTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-619-5081"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330146DP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.