1. Home
  2. Directory
  3. California
  4. Riverside
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

'SOUTH CALIFORNIA ROAD TO RECOVERY'
NPI 1225452691
Substance Abuse Rehabilitation Facility in Riverside, CA

Active since February 06, 2014CLIA 05D2095987 · Waiver
7057 GASKIN PL, RIVERSIDE, CA 92506(951) 776-8869(951) 215-0881 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Apr 12, 2017, Nov 24, 2015 (3 updates tracked since 2015).

About 'south California Road To Recovery' NPPES

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

'SOUTH CALIFORNIA ROAD TO RECOVERY' (NPI 1225452691) is a healthcare organization registered as a substance abuse rehabilitation facility in Riverside, California and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Angelika Panova, Executive Manager, as its authorized official.

NPPES Registry Identity

NPI1225452691
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMALIBU BEHAVIORAL HEALTH SERVICES INC
Location Address7057 GASKIN PLRiverside, CA 92506-5615
Mailing Address1057 E Imperial Hwy Apt 226Placentia, CA 92870-1717 · (951) 215-0881 · Fax (951) 215-0881
Phone(951) 776-8869
Fax(951) 215-0881
Organization SubpartNo
Authorized OfficialAngelika PanovaExecutive Manager · (714) 887-3816
Enumeration DateFebruary 6, 2014
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1225452691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 330128AP
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 49586 (CA)
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 804708 (CA)
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License 804708 (CA)
7057 GASKIN PL, Riverside, CA 92506
Open in Google Maps ↗

Other Names 1

Doing Business As'south California Road To Recovery'

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 05D2095987

South California Road To Recovery · Riverside, CA
Active · expires May 12, 2027
CLIA Number05D2095987
Laboratory TypeSubstace Abuse Facility
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorMichael Bishara
Laboratory Phone(714) 798-3423
Laboratory LocationSouth California Road To Recovery7057 Gaskin Place, Riverside, CA 92506
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MS. SHANNON MICHAL LANCE ACSW
Social Worker
7057 GASKIN PL
RIVERSIDE, CA 92506
Riverside County (951) 776-8869
ANGELIKA PANOVA MHPNP-RN/ LMFT
Nurse Practitioner (Psychiatric/Mental Health)
7057 GASKIN PL
RIVERSIDE, CA 92506
Riverside County (714) 887-3816

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 Malibu Behavioral Health Services Inc's NPI number?

The NPI number for Malibu Behavioral Health Services Inc is 1225452691. It was assigned to this organization in the NPPES registry on February 6, 2014. The provider is doing business as 'south California Road To Recovery'.

Where is Malibu Behavioral Health Services Inc located?

Malibu Behavioral Health Services Inc is located at 7057 Gaskin Pl, Riverside, CA 92506. The listed phone number is (951) 776-8869.

What is Malibu Behavioral Health Services Inc's specialty?

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

Does Malibu Behavioral Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2095987) is associated with this NPI, valid through May 12, 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 Malibu Behavioral Health Services Inc was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.