Temecula Valley Treatment Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

3307 Issued in CA

Legal business name

TEMECULA VALLEY TREATMENT CENTER

Practice address

1560 Capalina Rd
San Marcos, CA 92069-1288

Phone

(760) 744-2104

NPI assigned

Apr 2, 2015

Organization subpart

No

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

Authorized official

Name

Paul Little Jr., MD

Title

Medical Director

Phone

(951) 894-5072

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1821483264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 CAPALINA RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691288",
            "telephone_number": "760-744-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 CAPALINA RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691288",
            "telephone_number": "760-744-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA VALLEY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-894-5072",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "3307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Laine Tarutis, PA-C
• Gina Tashjian
• Autumn Tattenham, CLC, CD, NCS
• Deborah Anne Taubman, N.P.
• Carol A Taylor, P.A.
• Jenny Peng Teng
• Erica Teran Pital, R.D.
• Oswaldo Terriquez
• Daniel Tevrizian, D.D.S.
• Melissa Ann Thacher, R.N.

• Substance Use Disorder Rehabilitation Clinic/Center in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.