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ALPINE SPECIAL TREATMENT CENTER
NPI 1063589620
Intermediate Care Facility, Mental Illness in Alpine, CA

Active since November 29, 2006CLIA 05D0894919 · Microscopy
2120 ALPINE BLVD, ALPINE, CA 91901(619) 445-2644(619) 659-3122 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Alpine Special Treatment Center NPPES

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

ALPINE SPECIAL TREATMENT CENTER (NPI 1063589620) is a healthcare organization registered as an intermediate care facility, mental illness in Alpine, California and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through November 27, 2026 and lists Kristin Allred, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063589620
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameALPINE SPECIAL TREATMENT CENTER
Location Address2120 ALPINE BLVDAlpine, CA 91901-2113
Mailing Address2120 Alpine BlvdAlpine, CA 91901-2113 · (619) 445-2644 · Fax (619) 659-3122
Phone(619) 445-2644
Fax(619) 659-3122
Organization SubpartNo
Authorized OfficialKristin AllredAdministrator · (619) 445-7570
Enumeration DateNovember 29, 2006
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1063589620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
2120 ALPINE BLVD, Alpine, CA 91901
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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 for Provider-Performed Microscopy Procedures (PPMP) 05D0894919

Alpine Special Treatment Center Inc · Alpine, CA
Active · expires Nov 27, 2026
CLIA Number05D0894919
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorBrian Miller
Laboratory Phone(619) 445-2644
Laboratory LocationAlpine Special Treatment Center Inc2120 Alpine Boulevard, Alpine, CA 91901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

BRANDON REY MARTINEZ MSN, PMHNP-BC, APRN
Nurse Practitioner (Psychiatric/Mental Health)
2120 ALPINE BLVD
ALPINE, CA 91901
San Diego County (702) 526-7610
RILEY ELIZABETH PORTER
Psychologist (Rehabilitation)
2120 ALPINE BLVD
ALPINE, CA 91901
San Diego County (619) 445-2644
CLAUDIA LUCETTE LOSCO SUDCC IV
Counselor (Addiction (Substance Use Disorder))
2120 ALPINE BLVD
ALPINE, CA 91901
San Diego County (619) 445-2644
ASHLEY NICOLE LAIRSON
Counselor (Mental Health)
2120 ALPINE BLVD
ALPINE, CA 91901
San Diego County (619) 722-7319
CLAUDIA V WADE
Case Manager/Care Coordinator
2120 ALPINE BLVD
ALPINE, CA 91901
San Diego County (619) 445-2644
TYLER LARGE
Behavior Technician
2120 ALPINE BLVD
ALPINE, CA 91901
San Diego County (619) 445-2644
ALYSSA LOUISE PESCE
Counselor
2120 ALPINE BLVD
ALPINE, CA 91901
San Diego County (619) 445-2644
TIFFANY RUTLEDGE
Case Manager/Care Coordinator
2120 ALPINE BLVD
ALPINE, CA 91901
San Diego County (706) 825-0300

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 Alpine Special Treatment Center's NPI number?

The NPI number for Alpine Special Treatment Center is 1063589620. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Alpine Special Treatment Center located?

Alpine Special Treatment Center is located at 2120 Alpine Blvd, Alpine, CA 91901. The listed phone number is (619) 445-2644.

What is Alpine Special Treatment Center's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Does Alpine Special Treatment Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0894919) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alpine Special Treatment Center was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.