SAN DIEGO DETOX
NPI 1043768484
Substance Abuse Rehabilitation Facility in Corona, CA

Active since September 14, 2016
9480 PATS POINT DR, CORONA, CA 92883(951) 319-7995 Get Directions Write a Review

NPPES record last updated: July 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2017, Jun 30, 2017, Sep 14, 2016 (3 updates tracked since 2016).

About San Diego Detox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN DIEGO DETOX (NPI 1043768484) is a healthcare organization registered as a substance abuse rehabilitation facility in Corona, California and active in the NPI registry since September 2016. The organization lists Jason Monroe, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1043768484
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSAN DIEGO DETOX
Location Address9480 PATS POINT DRCorona, CA 92883-5014
Mailing AddressPo Box 51310Los Angeles, CA 90051-5610 · (855) 277-5363
Organization SubpartNo
Authorized OfficialJason MonroeChief Operating Officer · (602) 550-2211
Enumeration DateSeptember 14, 2016
Last NPPES UpdateJuly 28, 20173 updates tracked since enumeration
NPI 1043768484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
9480 PATS POINT DR, Corona, CA 92883

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
9480 PATS POINT DR
CORONA, CA 92883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Diego Detox's NPI number?

The NPI number for San Diego Detox is 1043768484. It was assigned to this organization in the NPPES registry on September 14, 2016.

Where is San Diego Detox located?

San Diego Detox is located at 9480 Pats Point Dr, Corona, CA 92883. The listed phone number is (951) 319-7995.

What is San Diego Detox's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for San Diego Detox was last updated on July 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.