SOCAL DETOX, LLC (NPI# 1730535501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730535501 |
| Entity Type | Organization |
| Organization Name | SOCAL DETOX, LLC |
| Other Organization Name | OCEAN RANCH RECOVERY |
| Practice Address |
20555 Fortuna Del Sur Escondido CA 92029-4507 |
| Mailing Address |
1703 Avenida Salvador San Clemente CA 92672-3268 |
| Practice Telephone | 9495845957 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |
| Authorized Official Name | JOSH BEAUCHAINE (PRESIDENT) |
| Authorized Official Telephone | 9495845957 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 370153AP | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| OCEAN RANCH RECOVERY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710445770 | Socal Detox, LLC | Substance Abuse Rehabilitation Facility | 1101 Sw Coventry Blvd, Bentonville, AR 72712-4325 | 2019-03-08 |
| 1871941583 | Socal Detox, LLC | Substance Abuse Rehabilitation Facility | 835 Avenida Salvador, San Clemente, CA 92672-2322 | 2016-06-03 |
| 1255750519 | Socal Detox, LLC | Substance Abuse Rehabilitation Facility | 1703 Avenida Salvador, San Clemente, CA 92672-3268 | 2014-04-15 |
| Street Address |
20555 FORTUNA DEL SUR |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
| Find all providers in zip 92029 | ||||
| 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 |
|---|---|---|---|---|
| 1013402908 | Ndllj Inc | Substance Abuse Rehabilitation Facility | 21734 Amble Dr, Escondido, CA 92029-4800 | 2018-06-25 |
| 1245766260 | Recovery Solutions LLC | Substance Abuse Rehabilitation Facility | 20710 Elfin Forest Rd, Escondido, CA 92029-3313 | 2017-05-11 |
| 1578746103 | North County Serenity House,inc. | Substance Abuse Rehabilitation Facility | 240 S Hickory St Ste 210, Escondido, CA 92025-4357 | 2007-12-05 |
| 1902808744 | The Fellowship Center Alcohol Services Program, Inc. | Substance Abuse Rehabilitation Facility | 737 E Grand Ave, Escondido, CA 92025-4404 | 2005-08-11 |
| 1912440645 | Pure Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 19915 Fortuna Del Este, Escondido, CA 92029-5917 | 2016-11-29 |
| 1568818995 | Pamela Gauerke | Substance Abuse Rehabilitation Facility | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2016-05-04 |
| 1952761454 | Healthright 360 | Substance Abuse Rehabilitation Facility | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2016-02-26 |
| 1013041482 | Healthright 360 | Substance Abuse Rehabilitation Facility | 130 S Fig St, Escondido, CA 92025-4401 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.