Organization Active NPI

Inner-Tribal Treatment

  • Substance Abuse Rehabilitation Facility
  • Pauma Valley, CA
National Provider Identifier
1609555887
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
INNER-TRIBAL TREATMENT
Practice address
16160 Highway 76 Unit 401
Pauma Valley, CA 92061-2017
Phone
(949) 356-1944
NPI assigned
Jul 14, 2023
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Anthony Ferrigno
Title
Billing Manager
Phone
(949) 356-1944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

16160 Highway 76 Unit 401
Pauma Valley, CA 92061-2017

Mailing address

PO Box 823
Pauma Valley, CA 92061-0823

National Provider Directory

National Provider Directory

Locations

16160 Highway 76
Unit 401
Pauma Valley, CA 92061
Phone (949) 356-1944

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1609555887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 823",
            "city": "PAUMA VALLEY",
            "state": "CA",
            "postal_code": "920610823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16160 HIGHWAY 76 UNIT 401",
            "city": "PAUMA VALLEY",
            "state": "CA",
            "postal_code": "920612017",
            "telephone_number": "949-356-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER-TRIBAL TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-06-26",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "FERRIGNO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "949-356-1944"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauma Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.