Organization Active NPI

WCHS- Temecula Valley Treatment Center

  • Nursing Care Agency
  • Murrieta, CA
National Provider Identifier
1750623971
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
263312 Issued in CA
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

Updated by the provider on Mar 26, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
330652055MedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1056621WCHS, Inc - Dba Temecula Valley40700 California Oaks Rd, Ste 201, Murrieta, CA 92562Certificate of waiverJul 19, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.