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KAISER FOUNDATION HOSPITAL CHEM DEPENDENCY RECOVERY
NPI 1306991278
Substance Abuse Rehabilitation Facility in Fontana, CA

Active since January 23, 2007
17046 MARYGOLD AVE, FONTANA, CA 92335(909) 427-5128 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaiser Foundation Hospital Chem Dependency Recovery NPPES

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

KAISER FOUNDATION HOSPITAL CHEM DEPENDENCY RECOVERY (NPI 1306991278) is a healthcare organization registered as a substance abuse rehabilitation facility in Fontana, California and active in the NPI registry since January 2007. The organization lists Ruth Counts, Interim Director Arl, as its authorized official.

NPPES Registry Identity

NPI1306991278
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameKAISER FOUNDATION HOSPITALS
Location Address17046 MARYGOLD AVEFontana, CA 92335-1706
Mailing Address17046 Marygold AveFontana, CA 92335-1706 · (909) 427-5128
Phone(909) 427-5128
Organization SubpartNo
Authorized OfficialRuth CountsInterim Director Arl · (626) 405-3676
Enumeration DateJanuary 23, 2007
Last NPPES UpdateApril 20, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1306991278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 240000159
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.
17046 MARYGOLD AVE, Fontana, CA 92335
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Other Names 1

Doing Business AsKaiser Foundation Hospital Chem Dependency Recovery

Other Providers at the Same Location NPPES 10

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

SANDRA PATRICIA VIRAMONTES MS MFT
Marriage & Family Therapist
17046 MARYGOLD AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5128
DIANA G IBARRA
Marriage & Family Therapist
17046 MARYGOLD AVE
FONTANA, CA 92335
San Bernardino County (833) 579-4848
MR. FERNANDO RIOS M.S.
Marriage & Family Therapist
17046 MARYGOLD AVE
FONTANA, CA 92335
San Bernardino County (866) 205-3595
KARLA CORTEZ
Marriage & Family Therapist
17046 MARYGOLD AVE
FONTANA, CA 92335
San Bernardino County (866) 205-3595
MS. BRENDA L. OLIVER
Marriage & Family Therapist
17046 MARYGOLD AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5247
MRS. ELVIA GONZALES ROJAS MFT
Marriage & Family Therapist
17046 MARYGOLD AVE
FONTANA, CA 92335
San Bernardino County (951) 956-9520
SHARON KENNON LCSW
Social Worker (Clinical)
17046 MARYGOLD AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5128
KEVIN MEIS GUBER M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17046 MARYGOLD AVE
FONTANA, CA 92335
San Bernardino County (866) 205-3595

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 Kaiser Foundation Hospitals's NPI number?

The NPI number for Kaiser Foundation Hospitals is 1306991278. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Kaiser Foundation Hospital Chem Dependency Recovery.

Where is Kaiser Foundation Hospitals located?

Kaiser Foundation Hospitals is located at 17046 Marygold Ave, Fontana, CA 92335. The listed phone number is (909) 427-5128.

What is Kaiser Foundation Hospitals's specialty?

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

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Hospitals was last updated on April 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.