SAN DIEGO FREEDOM RANCH, INC.
NPI 1093937591
Substance Abuse Rehabilitation Facility in Campo, CA

NPI Status: Active since May 03, 2007

Contact Information

1777 BUCKMAN SPRINGS RD
CAMPO, CA
ZIP 91906
Phone: (619) 478-5696
Fax: (619) 478-2404

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Substance Abuse Rehabilitation Facility
CLIA Number: 05D2324530
CLIA Cert. Type: Other - DRUG&ALCOHOL TREATMENT CN
CLIA Exp. Date: 05-26-2027

About SAN DIEGO FREEDOM RANCH, INC.

This page provides the complete NPI Profile along with additional information for San Diego Freedom Ranch, Inc., a provider established in Campo, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1093937591 assigned on May 2007. The practitioner's primary taxonomy code is 324500000X with license number 370004AN (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Michael Lee Huffaker Cadc Ii, Icadc (Operations Manager)

NPI: 1093937591
Provider Name: SAN DIEGO FREEDOM RANCH, INC.
Entity Type: Organization
Location Address: 1777 BUCKMAN SPRINGS RD CAMPO, CA 91906
Location Phone: (619) 478-5696
Location Fax: (619) 478-2404
Mailing Address: PO BOX 157 CAMPO, CA 91906
Mailing Phone: (619) 478-5696
Mailing Fax: (619) 478-2404
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-03-2007
Last Update Date: 08-31-2020
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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.: 370004AN
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. MICHAEL LEE HUFFAKER CADC II, ICADC
Authorized Official Title: OPERATIONS MANAGER
Authorized Official Phone: (619) 478-5696

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: 05D2324530
Facility Type: Other - DRUG&ALCOHOL TREATMENT CN
Certificate Effective Date: May 27, 2025
Certificate Expiration Date: May 26, 2027
Laboratory Director: CHRISTIAN SMALL
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to San Diego Freedom Ranch, Inc. 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.

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 1093937591, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 18 → 1 + 8

Pos 6

Unchanged

Pos 7

Doubled → 14 → 1 + 4

Pos 8

Unchanged

Pos 9

Doubled → 18 → 1 + 8

Check

Target digit

Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 9 → 18 → 9 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 8 + 3 + 1 + 4 + 5 + 1 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1

This NPI is valid

The calculated check digit is 1, which matches the last digit of 1093937591.