SAN DIEGO DETOX
NPI 1578084257
Substance Abuse Rehabilitation Facility in Corona, CA

NPI Status: Active since July 03, 2017

Contact Information

9440 PATS POINT DR
CORONA, CA
ZIP 92883
Phone: (951) 319-7995

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  • Organization
  • Substance Abuse Rehabilitation Facility

About SAN DIEGO DETOX

This page provides the complete NPI Profile along with additional information for San Diego Detox, a provider established in Corona, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1578084257 assigned on July 2017. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Jason Monroe (Coo)

NPI
1578084257
Provider Name
SAN DIEGO DETOX
Entity Type
Organization
Location Address
9440 PATS POINT DR CORONA, CA 92883
Location Phone
(951) 319-7995
Mailing Address
PO BOX 51310 LOS ANGELES, CA 90051
Mailing Phone
(855) 277-5363
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2017
Last Update Date
07-28-2017
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JASON MONROE

Authorized Official Title
COO
Authorized Official Phone
(602) 550-2211

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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.
1578084257
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25148088210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 0 + 8 + 8 + 2 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1578084257 is valid because the calculated check digit 7 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 1578084257, enumerated in the NPI registry as an "organization" on July 03, 2017

The provider is located at 9440 Pats Point Dr Corona, Ca 92883 and the phone number is (951) 319-7995

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on July 03, 2017. 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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