Active NPI
WCHS- Temecula Valley Treatment Center
- Nursing Care Agency
- Murrieta, CA
National Provider Identifier
1750623971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 263312
- Legal business name
- WCHS- TEMECULA VALLEY TREATMENT CENTER
- Practice address
- 40700 California Oaks Rd
Suite 202
Murrieta, CA 92562-5795 - Phone
- (951) 894-5072
- Fax
- (951) 894-7324
- NPI assigned
- Mar 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Stacey Ann Marie Phillips
- Title
- LVN
- Phone
- (951) 723-0348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 263312 | CA | Primary |
Addresses
Primary practice location
40700 California Oaks Rd
Suite 202
Murrieta, CA 92562-5795
Mailing address
40700 California Oaks Rd
Suite 202
Murrieta, CA 92562-5795
Phone (951) 894-5072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330652055 | Medicaid | CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1056621 | WCHS, Inc - Dba Temecula Valley | Certificate of waiver | Jul 19, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364256000000",
"number": "1750623971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40700 CALIFORNIA OAKS RD",
"address_2": "SUITE 202",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625795",
"telephone_number": "951-894-5072",
"fax_number": "951-894-7324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40700 CALIFORNIA OAKS RD",
"address_2": "SUITE 202",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625795",
"telephone_number": "951-894-5072",
"fax_number": "951-894-7324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WCHS- TEMECULA VALLEY TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-26",
"last_updated": "2013-03-26",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "ANN MARIE",
"authorized_official_title_or_position": "LVN",
"authorized_official_telephone_number": "951-723-0348",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "CA",
"license": "263312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330652055",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.