CALIFORNIA COAST DETOX & REHAB
NPI 1023403714
Substance Abuse Rehabilitation Facility in Dana Point, CA
NPI Status: Active since March 31, 2015
Contact Information
24482 CARACAS ST
DANA POINT, CA
ZIP 92629
Phone: (949) 218-8174
Fax: (866) 703-9903
- Organization
- Substance Abuse Rehabilitation Facility
About CALIFORNIA COAST DETOX & REHAB
This page provides the complete NPI Profile along with additional information for California Coast Detox & Rehab, a provider established in Dana Point, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1023403714 assigned on March 2015. The practitioner's primary taxonomy code is 324500000X with license number 300306AP (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. California Coast Detox & Rehab operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as California Coast Detox & Rehab. The authorized official of this NPI record is Reiner Vincent Nusbaum (Administrator)
- NPI
- 1023403714
- Provider Legal Name
- NDR PACIFIC, INC
- Other Organization Name
- CALIFORNIA COAST DETOX & REHAB
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 24482 CARACAS ST DANA POINT, CA 92629
- Location Phone
- (949) 218-8174
- Location Fax
- (866) 703-9903
- Mailing Address
- 806 AVENIDA PICO SUITE I-284 SAN CLEMENTE, CA 92673
- Mailing Phone
- (949) 235-8258
- Mailing Fax
- (866) 703-9903
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-31-2015
- Last Update Date
- 03-31-2015
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 300306AP
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 300306AP (CA) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 300306AP (CA) |
| 3 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 300306AP (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 4 | 0 | 3 | 7 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 8 | 0 | 6 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 8 + 0 + 6 + 7 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1023403714 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023403714, enumerated as an "organization" on March 31, 2015.
The provider is located at 24482 CARACAS ST DANA POINT, CA 92629 and the phone number is (949) 218-8174.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
