COACHELLA VALLEY TREATMENT CENTER
NPI 1013448547
Clinic/Center - Methadone in Indio, CA
NPI Status: Active since March 26, 2017
Contact Information
81709 DR CARREON BLVD STE B1
INDIO, CA
ZIP 92201
Phone: (818) 441-1049
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 05D2028670
- CLIA Cert. Type: Other - FREE VOLUNTEER CLINIC
- CLIA Exp. Date: 08-21-2027
About COACHELLA VALLEY TREATMENT CENTER
This page provides the complete NPI Profile along with additional information for Coachella Valley Treatment Center, a provider established in Indio, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1013448547 assigned on March 2017. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mariam M Nikogosyan (Program Director)
- NPI
- 1013448547
- Provider Name
- COACHELLA VALLEY TREATMENT CENTER
- Entity Type
- Organization
- Location Address
- 81709 DR CARREON BLVD STE B1 INDIO, CA 92201
- Location Phone
- (818) 441-1049
- Mailing Address
- 815 S CENTRAL AVE STE 5 GLENDALE, CA 91204
- Mailing Phone
- (818) 441-1049
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-26-2017
- Last Update Date
- 03-26-2017
- Code Navigator
Location Map
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.
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
- 05D2028670
- Facility Type
- Other - FREE VOLUNTEER CLINIC
- Certificate Effective Date
- August 22, 2025
- Certificate Expiration Date
- August 21, 2027
- Laboratory Director
- ERNEST C. WYNNE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Coachella Valley Treatment Center 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013448547, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
INDIO, CA 92201
INDIO, CA 92201
INDIO, CA 92201
INDIO, CA 92201
INDIO, CA 92201
INDIO, CA 92201
INDIO, CA 92201
INDIO, CA 92201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013448547, enumerated as an "organization" on March 26, 2017.
The provider is located at 81709 DR CARREON BLVD STE B1 INDIO, CA 92201 and the phone number is (818) 441-1049.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
