Desert Paradise Detox & Rehab

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DESERT PARADISE DETOX & REHAB

Practice address

2124 W Avenue O8
Palmdale, CA 93551-3371

Phone

(818) 657-9497

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Kendall Blackford

Title

Operations

Phone

(661) 917-4442

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1639910201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 W AVENUE O8",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 W AVENUE O8",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513371",
            "telephone_number": "818-657-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PARADISE DETOX & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "BLACKFORD",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "661-917-4442",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise a.B. Smith M.D., PH.D., PC
• Denpta Home Care
• Denptaaj LLC
• Department of Mental Health Palmdale Mental Health Center
• Ara A Derkejian
• Desert Sky Transit
• Desert View Emergency Physicians, a Medical Corporation
• Laura Nayeli Desiderio
• Design for Change
• Design for Living Behavior Health, Inc.

• Substance Abuse Rehabilitation Facility in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.