NPIMap

Organization Active NPI

Milestone Detox, LLC

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Temecula, CA
National Provider Identifier
1831605047
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
License
330011AP Issued in CA
Legal business name
MILESTONE DETOX, LLC
Practice address
35440 Calle Nopal
Temecula, CA 92592-9434
Phone
(949) 388-4114
NPI assigned
Dec 26, 2017
Organization subpart
Yes
Parent organization
MILESTONE DETOX, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Cesar B Cabrera, PHARM DNPI 1790404036
Title
Executive Director
Phone
(949) 388-4114

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 Use Disorder Rehabilitation Hospital Unit 276400000X 330011AP CA Primary

Addresses

Primary practice location

35440 Calle Nopal
Temecula, CA 92592-9434

Mailing address

1040 W 17TH St
Costa Mesa, CA 92627-4503
Phone (949) 388-4114

Other names 2

  • Milestone Detox Doing business as
  • Milestone Detox - Temecula Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Milestone Detox LLC2 organizations share this tax ID, including this one
Part of
Milestone Detox LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1831605047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 W 17TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274503",
            "telephone_number": "949-388-4114",
            "fax_number": "949-203-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35440 CALLE NOPAL",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925929434",
            "telephone_number": "949-388-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE DETOX, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILESTONE DETOX, LLC",
        "enumeration_date": "2017-12-26",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-388-4114",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "CA",
            "license": "330011AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone Detox",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Milestone Detox - Temecula",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Milestone Detox - Temecula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 18, 2019; 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.