CALIFORNIA WELLNESS RETREAT, INC.
NPI 1063293454
Substance Abuse Rehabilitation Facility in Sunland, CA
NPI Status: Active since October 11, 2023
Contact Information
8131 ELLENBOGEN ST
SUNLAND, CA
ZIP 91040
Phone: (424) 666-6000
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 05D2306409
- CLIA Cert. Type: Other - RESIDENTIAL SUBSTANCE ABU
- CLIA Exp. Date: 06-16-2026
About CALIFORNIA WELLNESS RETREAT, INC.
This page provides the complete NPI Profile along with additional information for California Wellness Retreat, Inc., a provider established in Sunland, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1063293454 assigned on October 2023. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Vahagn Mkrtchyan (Ceo)
- NPI
- 1063293454
- Provider Name
- CALIFORNIA WELLNESS RETREAT, INC.
- Entity Type
- Organization
- Location Address
- 8131 ELLENBOGEN ST SUNLAND, CA 91040
- Location Phone
- (424) 666-6000
- Mailing Address
- 8131 ELLENBOGEN ST SUNLAND, CA 91040
- Mailing Phone
- (424) 666-6000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-11-2023
- Last Update Date
- 10-11-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2306409
- Facility Type
- Other - RESIDENTIAL SUBSTANCE ABU
- Certificate Effective Date
- June 17, 2024
- Certificate Expiration Date
- June 16, 2026
- Laboratory Director
- JONATHAN REITMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to California Wellness Retreat, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 2 | 9 | 3 | 4 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 4 | 9 | 6 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 4 + 9 + 6 + 4 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1063293454 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063293454, enumerated in the NPI registry as an "organization" on October 11, 2023
The provider is located at 8131 Ellenbogen St Sunland, Ca 91040 and the phone number is (424) 666-6000
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider's CLIA number is 05D2306409 for a "other - residential substance abu" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 11, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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