TEMECULA VALLEY TREATMENT CENTER (NPI# 1821483264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821483264 |
| Entity Type | Organization |
| Organization Name | TEMECULA VALLEY TREATMENT CENTER |
| Practice Address |
1560 Capalina Rd San Marcos CA 92069-1288 |
| Practice Telephone | 7607442104 |
| Mailing Telephone | 7607442104 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |
| Authorized Official Name | PAUL LITTLE JR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9518945072 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
3307 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457722977 | Temecula Valley Treatment Center | Clinic/Center | 40700 California Oaks Rd, Murrieta, CA 92562-5795 | 2015-10-09 |
| Street Address |
1560 CAPALINA RD |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92069-1288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376566455 | Kevin Paul Feig | Internal Medicine | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2006-07-26 |
| 1902414063 | Tasha Larae Smith | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2020-07-15 |
| 1568088441 | Torey Elizabeth Leck | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2020-06-17 |
| 1841832086 | Oscar Lopez Guevara | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-10-09 |
| 1467014191 | Yidda Jazmin Mancinas | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-07-02 |
| 1982163994 | Robert Lyons | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-03-19 |
| 1932673928 | Jamie Lynn Lesage | Licensed Vocational Nurse | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-01-14 |
| 1679056816 | Josee Harris | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-09-13 |
| 1053892133 | Bethany Anne Johnson | Case Manager/Care Coordinator | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-08-27 |
| 1659857985 | Kathleen Mary Delmastro | Licensed Vocational Nurse | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
| 1588150296 | Martha Gallo | Adult Companion | 1227 Armorlite Dr Apt 102, San Marcos, CA 92069 | 2018-07-05 |
| 1508357765 | Jensen Moore | Chiropractor | 370 Mulberry Dr Ste C, San Marcos, CA 92069 | 2018-05-23 |
| 1457870156 | Brandie Janette Limon-nava | Counselor | 751 Rancheros Dr Suite 5, San Marcos, CA 92069 | 2017-09-13 |
| 1336436872 | Vivek Solanki | Dentist | 197 Woodland Pkwy #100, Mission Hills Family Dental, San Marcos, CA 92069 | 2011-07-05 |
| 1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
| 1407174113 | Daniel Reinke | Counselor | 1560 Capalina Road, San Marcos, CA 92069 | 2010-05-06 |
| 1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
| 1124220926 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 997 Woodland Pkwy, San Marcos, CA 92069 | 2007-06-04 |
| 1275755845 | Davoudi Dds Inc. | Dentist | 979 Woodland Parkway, Suite 100, San Marcos, CA 92069 | 2007-05-03 |
| Find all providers in zip 92069 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467988758 | Mhn Government Services LLC | Clinic/Center | 1050 Los Vallecitos Blvd, Suite 109, San Marcos, CA 92069-1469 | 2017-05-04 |
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| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
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| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 92069 |
Please comment or provide details below to improve the information on TEMECULA VALLEY TREATMENT CENTER.
| 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.