EVEXIA HEALTH SERVICES, LLC.
NPI 1720545742
Clinic/Center - Methadone in Corona, CA

NPI Status: Active since February 26, 2019

Contact Information

109 E 11TH ST
CORONA, CA
ZIP 92879
Phone: (951) 391-1470

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  • Organization
  • Clinic/Center
  • Methadone
  • CLIA Number: 05D2205742
  • CLIA Cert. Type: Other - SUB ABUSE TREAT
  • CLIA Exp. Date: 12-14-2026

About EVEXIA HEALTH SERVICES, LLC.

This page provides the complete NPI Profile along with additional information for Evexia Health Services, Llc., a provider established in Corona, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1720545742 assigned on February 2019. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Christopher Lo (Coo)

NPI
1720545742
Provider Name
EVEXIA HEALTH SERVICES, LLC.
Entity Type
Organization
Location Address
109 E 11TH ST CORONA, CA 92879
Location Phone
(951) 391-1470
Mailing Address
109 E 11TH ST CORONA, CA 92879
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2019
Last Update Date
06-08-2022
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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

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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

CHRISTOPHER LO

Authorized Official Title
COO
Authorized Official Phone
(951) 391-1470

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 222 times for 11 patients

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
05D2205742
Facility Type
Other - SUB ABUSE TREAT
Certificate Effective Date
December 15, 2024
Certificate Expiration Date
December 14, 2026
Laboratory Director
TOMMY ZAHARAKIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evexia Health Services, Llc. 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.

Reviews for EVEXIA HEALTH SERVICES, LLC.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1720545742
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27401041078
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 4 + 1 + 0 + 7 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1720545742 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184275315 BRITTANI JEANNE GUILLORY LVN
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1871134742 MICHAEL ALEXANDER ONTIVEROS LVN
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1588215842 RYAN THOMAS BARKER CATC II
Individual
Counselor (Addiction (Substance Use Disorder))109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1740335330 EVELYN SOSA
Individual
Counselor (Addiction (Substance Use Disorder))109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1134764541 MICHELLE ANNETTE MORRISON LVN
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1275102436 ANDREA ROSE ARISTA LVN
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1679224109 KATRINA LIND LVN
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1760024145 JASMINE AIKENS LVN
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1366008799 JULIE RAE WILSON
Individual
Counselor (Addiction (Substance Use Disorder))109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1750011961 TERI WILLIAMS-GILLIAN LVN
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1659809747 VALERIE RETANA LVN
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1114649522 REGGIE FEDERICO
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1932630340 SHARAE LOVE
Individual
Counselor (Addiction (Substance Use Disorder))109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1588120299 DEYLA ANDERSON CAODC
Individual
Counselor (Addiction (Substance Use Disorder))109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1982313391 JADE GOODWIN LVN
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1679308886 ANAISES LOPEZ LVN
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1093538878 SYDNEY BAILEY LVN
Individual
Licensed Vocational Nurse109 E 11TH ST
CORONA, CA 92879
(951) 427-3482
1669039210 LOUISA ESCARRZAGA GUTIERREZ
Individual
Counselor (Addiction (Substance Use Disorder))109 E 11TH ST
CORONA, CA 92879
(951) 427-3482

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720545742, enumerated in the NPI registry as an "organization" on February 26, 2019

The provider is located at 109 E 11th St Corona, Ca 92879 and the phone number is (951) 391-1470

This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone

The most common procedures or services performed by this practitioner are: Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm.

The provider's CLIA number is 05D2205742 for a "other - sub abuse treat" 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 February 26, 2019. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.