Organization Active NPI

John Richard Durbin

  • Substance Abuse Rehabilitation Facility
  • Sacramento, CA
National Provider Identifier
1750738142
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
AII8741214 Issued in CA
Legal business name
JOHN RICHARD DURBIN
Practice address
3600 Power Inn Rd Ste C
Sacramento, CA 95826-3826
Phone
(916) 453-2704
Fax
(916) 453-2708
NPI assigned
May 16, 2016
Last updated
May 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
John Richard Durbin, CADC IINPI 1851748065
Title
Program Manager
Phone
(916) 453-2704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X AII8741214 CA Primary

Addresses

Primary practice location

3600 Power Inn Rd Ste C
Sacramento, CA 95826-3826

Mailing address

11150 Trinity River Dr Apt 85
Rancho Cordova, CA 95670-2965
Phone (916) 213-5753

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1750738142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 TRINITY RIVER DR APT 85",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702965",
            "telephone_number": "916-213-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 POWER INN RD STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263826",
            "telephone_number": "916-453-2704",
            "fax_number": "916-453-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN RICHARD DURBIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "916-453-2704",
        "authorized_official_credential": "CADC II"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "AII8741214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.