SAN ADDICTION TREATMENT CENTER INC. (NPI# 1083995062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083995062 |
| Entity Type | Organization |
| Organization Name | SAN ADDICTION TREATMENT CENTER INC. |
| Practice Address |
41640 Corning Pl Ste 104 Murrieta CA 92562-7048 |
| Mailing Address |
27315 Jefferson Ave # J239 Temecula CA 92590-5670 |
| Practice Telephone | 9518372400 |
| Practice Fax Number | 8004018464 |
| Mailing Telephone | 9518372400 |
| Mailing Fax Number | 8004018464 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |
| Authorized Official Name | MR. JERROD MENZ (CEO) |
| Authorized Official Telephone | 9518372400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 330071P | CA | Residential Treatment Facilities |
| Street Address |
41640 CORNING PL STE 104 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-7048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861101 | Sce Corp | Substance Abuse Rehabilitation Facility | 30780 Olympia Rose Dr, Murrieta, CA 92563-7992 | 2020-05-04 |
| 1073147211 | Ranch Creek Recovery,inc. | Substance Abuse Rehabilitation Facility | 36702 Doreen Dr, Murrieta, CA 92563-3022 | 2020-02-26 |
| 1578037271 | Resilience Rehabilitation, LLC | Substance Abuse Rehabilitation Facility | 25207 Parkcrest Dr, Murrieta, CA 92562-5950 | 2019-01-15 |
| 1366920290 | Solution Based Treatment & Detox | Substance Abuse Rehabilitation Facility | 22783 Montanya Pl, Murrieta, CA 92562-3495 | 2018-08-02 |
| 1497253561 | Solution Based Treatment and Detox | Substance Abuse Rehabilitation Facility | 41655 Date St Ste 101, Murrieta, CA 92562-7040 | 2018-01-24 |
| 1548711328 | Better Beginnings Recovery, Inc. | Substance Abuse Rehabilitation Facility | 40119 Murrieta Hot Springs Rd, Suite B102, Murrieta, CA 92563-6304 | 2016-10-17 |
| 1467836122 | West Coast Recovery Center LLC | Substance Abuse Rehabilitation Facility | 25190 Hancock Avenue, Suite A, Murrieta, CA 92562-5947 | 2015-07-13 |
| 1538459060 | Ranch Creek Recovery,inc. | Substance Abuse Rehabilitation Facility | 25650 Bass Pt, Murrieta, CA 92562-9424 | 2011-04-18 |
| 1881130680 | Rachel Bush Zwingmann | Substance Abuse Rehabilitation Facility | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2017-01-17 |
| 1528429776 | Solution Based Treatment and Detox | Substance Abuse Rehabilitation Facility | 41017 Arron Ct, Murrieta, CA 92562-6003 | 2016-03-16 |
| Find all providers in MURRIETA | ||||
Please comment or provide details below to improve the information on SAN ADDICTION TREATMENT CENTER INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.