CRC HEALTH
NPI 1104162403
Clinic/Center - Methadone in San Marcos, CA
About Crc Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRC HEALTH (NPI 1104162403) is a healthcare organization registered as a methadone in San Marcos, California and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Phillip C. Wilford, Counselor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 05D0568619
San Diego Health Alliance Dba - Capalina Clinic · San Marcos, CAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN MARCOS, CA 92069
SAN MARCOS, CA 92069
SAN MARCOS, CA 92069
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 Capalina Clinic's NPI number?
The NPI number for Capalina Clinic is 1104162403. It was assigned to this organization in the NPPES registry on December 14, 2012. The provider is doing business as Crc Health.
Where is Capalina Clinic located?
Capalina Clinic is located at 1560 Capalina Rd, San Marcos, CA 92069. The listed phone number is (760) 744-2104.
What is Capalina Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.
Does Capalina Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0568619) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Capalina Clinic was last updated on December 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Crc Health · NPI 1104162403
Methadone organization in San Marcos, California. Organization record, active in the CMS NPPES registry since December 14, 2012.
## Identity
- **NPI:** 1104162403 (Entity type: Organization)
- **Enumerated:** December 14, 2012
- **Primary specialty:** Clinic/Center - Methadone · taxonomy 261QM2800X
- **Legal business name:** Capalina Clinic
- **Organization subpart:** No
- **Authorized official:** Phillip Wilford, COUNSELOR
## Practice location
- **Address:** 1560 CAPALINA RD, San Marcos, CA 92069-1288
- **Phone:** (760) 744-2104
## Record status
- **NPPES last updated:** December 14, 2012
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1104162403) · Data from the CMS NPPES public registry.