SOUTHERN CALIFORNIA ADDICTION CENTER (NPI# 1508393265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508393265 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA ADDICTION CENTER |
| Practice Address |
44065 Margarita Rd Temecula CA 92592-2741 |
| Mailing Address |
2755 Bristol St Ste 140 Costa Mesa CA 92626-5985 |
| Practice Telephone | 7146195081 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | AARON BROWER (CEO) |
| Authorized Official Telephone | 7146195081 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 44274 George Cushman Ct Ste 208, Temecula, CA 925925945 | 7146195081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727464 | Southern California Addiction Center | Community/Behavioral Health | 35200 Linda Rosea Rd, Temecula, CA 92592-9531 | 2019-02-27 |
| 1609389162 | Southern California Addiction Center | Substance Abuse Rehabilitation Facility | 44764 Mumm St, Temecula, CA 92592-5546 | 2017-11-07 |
| 1538672084 | Southern California Addiction Center | Substance Abuse Rehabilitation Facility | 40624 Calle Cancion, Temecula, CA 92592-9472 | 2017-11-07 |
| 1346614666 | Southern California Addiction Center | Substance Abuse Rehabilitation Facility | 36500 De Portola Rd, Temecula, CA 92592-7801 | 2015-11-24 |
| Street Address |
44065 MARGARITA RD |
| City | TEMECULA |
| State | CA |
| Zip Code | 92592-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274363 | Amanda Fernandez | Behavioral Analyst | 44065 Margarita Rd, Temecula, CA 92592-2741 | 2017-02-21 |
| 1558961482 | Haley Bradford | Behavior Technician | 44065 Margarita Rd, Temecula, CA 92592-2741 | 2020-10-29 |
| 1972117307 | Shiyanne Kasdan | Behavioral Analyst | 44065 Margarita Rd, Temecula, CA 92592-2741 | 2020-09-02 |
| 1871001347 | Brigett Lynn Maddaluna | Behavioral Analyst | 44065 Margarita Rd, Temecula, CA 92592-2741 | 2018-01-17 |
| 1134636707 | Breanna Winkler | Behavioral Analyst | 44065 Margarita Rd, Temecula, CA 92592-2741 | 2018-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051625 | Huey Q Tran, Dds, Inc. | Dentist | 33321 Temecula Parkway Ste 104, Temecula, CA 92592 | 2020-07-23 |
| 1902425465 | Isak Elkayam | Student in an Organized Health Care Education/Training Program | 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-14 |
| 1033738737 | Jordan Buckley | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-13 |
| 1366071052 | Areg Hovsepyan | Internal Medicine | 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-03 |
| 1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
| 1962964718 | Krishna Theja Reddy Venkatamuni Reddy | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2019-04-02 |
| 1598220246 | Shanay Lamont Moore | Behavior Technician | 30660 Milky Way Dr., V174, Temecula, CA 92592 | 2019-02-07 |
| 1477029502 | Tibbitts Temecula Dental Group | Clinic/Center | 32909 Temecula Parkway Ste 102, Temecula, CA 92592 | 2018-10-16 |
| 1720563364 | Nicole Louise Hernandez | Behavioral Analyst | 32144 Camino Nunez, Temecula, CA 92592 | 2018-09-29 |
| 1174010664 | Kiet Chau | Pharmacist | 32228 Highway 79 South, Temecula, CA 92592 | 2018-04-19 |
| Find all providers in zip 92592 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727464 | Southern California Addiction Center | Community/Behavioral Health | 35200 Linda Rosea Rd, Temecula, CA 92592-9531 | 2019-02-27 |
| 1275018251 | Maxim Healthcare Services, Inc. | Community/Behavioral Health | 1 Ridgegate Dr Ste 130, Temecula, CA 92590-5505 | 2018-09-26 |
| 1205344744 | Capstone Christian Family Counseling Professional Corporation | Community/Behavioral Health | 27393 Ynez Rd Ste 264, Temecula, CA 92591-4610 | 2018-01-18 |
| 1881102879 | Sarah Christeen Johnson | Community/Behavioral Health | 41770 Margarita Rd Apt 1085, Temecula, CA 92591-1962 | 2018-01-12 |
| 1306385869 | Stephanie Dewante | Community/Behavioral Health | 30070 Rancho California Rd Apt 217, Temecula, CA 92591-2967 | 2017-02-16 |
| 1063883635 | County of Riverside | Community/Behavioral Health | 41002 County Center Dr Ste A, Temecula, CA 92591-6051 | 2015-10-08 |
| 1861871485 | Whitson Family Counseling Services, Inc. | Community/Behavioral Health | 31805 Temecula Pkwy # 154, Temecula, CA 92592-8203 | 2015-05-28 |
| 1356616080 | Mfi Recovery Center | Community/Behavioral Health | 27215 Nicolas Rd, Temecula, CA 92591-7348 | 2012-03-13 |
| 1609141332 | Mfi Recovery Center | Community/Behavioral Health | 32225 Pio Pico Rd, Temecula, CA 92592-2772 | 2012-03-13 |
| 1245553700 | Riverside County Substance Abuse Program | Community/Behavioral Health | 41002 County Center Dr., Temecula, CA 92591 | 2010-03-11 |
| Find all providers in TEMECULA | ||||
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| 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.