Organization Active NPI

Drug and Alcohol Rehabilitation Center of San Diego

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Diego, CA
National Provider Identifier
1639944689
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
DRUG AND ALCOHOL REHABILITATION CENTER OF SAN DIEGO
Practice address
10219 Caminito Rio Branco
San Diego, CA 92131-1629
Phone
(619) 227-9731
NPI assigned
Nov 20, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Monica Persons
Title
Owner
Phone
(619) 227-9731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

10219 Caminito Rio Branco
San Diego, CA 92131-1629

Mailing address

9984 Scripps Ranch Blvd # 283
San Diego, CA 92131-1825
Phone (619) 227-9731

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1639944689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9984 SCRIPPS RANCH BLVD # 283",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311825",
            "telephone_number": "619-227-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10219 CAMINITO RIO BRANCO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311629",
            "telephone_number": "619-227-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG AND ALCOHOL REHABILITATION CENTER OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "PERSONS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-227-9731"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 20, 2023; 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.