Restore Detox Centers

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RESTORE DETOX CENTERS

Practice address

14099 Sky Mountain Trail
Poway, CA 92064

Phone

(949) 813-5161

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Mr. John Francisco Hernandez, CA LMFT

Title

Cmo

Phone

(949) 813-5161

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": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1669918165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14099 SKY MOUNTAIN TRAIL",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "949-813-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14099 SKY MOUNTAIN TRAIL",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "949-813-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE DETOX CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "949-813-5161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CA LMFT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Poway, CA
• Providers in Poway, 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 Jan 9, 2017; 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.