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ROCKLIN REHAB
NPI 1043904931
Clinic/Center - Rehabilitation, Substance Use Disorder in Rocklin, CA

Active since June 05, 2023CLIA 05D2317255 · Waiver
4960 ROCKLIN RD STE 200, ROCKLIN, CA 95677(310) 343-8684 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2023, Aug 21, 2023, Jun 5, 2023 (3 updates tracked since 2023).

About Rocklin Rehab NPPES

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

ROCKLIN REHAB (NPI 1043904931) is a healthcare organization registered as a rehabilitation, substance use disorder in Rocklin, California and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Shaina Donner, Manager, as its authorized official.

NPPES Registry Identity

NPI1043904931
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameROCKLIN REHAB
Location Address4960 ROCKLIN RD STE 200Rocklin, CA 95677-3398
Mailing Address4960 Rocklin Rd Ste 200Rocklin, CA 95677-3398
Phone(310) 343-8684
Organization SubpartNo
Authorized OfficialShaina DonnerManager · (310) 343-8684
Enumeration DateJune 5, 2023
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1043904931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
4960 ROCKLIN RD STE 200, Rocklin, CA 95677
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2317255

Rocklin Rehab LLC · Rocklin, CA
Active · expires Jan 20, 2027
CLIA Number05D2317255
Laboratory TypeIop
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorJiseung Yoon
Laboratory Phone(310) 343-8684
Laboratory LocationRocklin Rehab LLC4960 Rocklin Rd Ste 200, Rocklin, CA 95677
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rocklin Rehab's NPI number?

The NPI number for Rocklin Rehab is 1043904931. It was assigned to this organization in the NPPES registry on June 5, 2023.

Where is Rocklin Rehab located?

Rocklin Rehab is located at 4960 Rocklin Rd Ste 200, Rocklin, CA 95677. The listed phone number is (310) 343-8684.

What is Rocklin Rehab's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Rocklin Rehab hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2317255) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rocklin Rehab was last updated on November 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.