NPIMap

Organization Active NPI

Second2None

  • Substance Abuse Rehabilitation Facility
  • Temecula, CA
National Provider Identifier
1770967267
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1202970615 Issued in CA
Legal business name
SECOND2NONE
Practice address
32619 Via Perales
Temecula, CA 92592-8148
Phone
(951) 587-1073
NPI assigned
Jul 14, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Miss Diane Kathryn Dudek, CADC-II, ICADC
Title
Clinical Director
Phone
(951) 461-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1202970615 CA Primary

Addresses

Primary practice location

32619 Via Perales
Temecula, CA 92592-8148

Mailing address

32619 Via Perales
Temecula, CA 92592-8148
Phone (951) 587-1073

National Provider Directory

National Provider Directory
Tax ID family
Loc DO24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

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": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1770967267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32619 VIA PERALES",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925928148",
            "telephone_number": "951-587-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32619 VIA PERALES",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925928148",
            "telephone_number": "951-587-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND2NONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "DUDEK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "951-461-1800",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CADC-II, ICADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "1202970615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.