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CALIFORNIA REHABILITATION CENTER PHARMACY
NPI 1457906745
Pharmacy in Norco, CA

Active since August 05, 2019CLIA 05D0891510 · Waiver
5TH AND WESTERN AVE, MODULE M, ROOM #104, NORCO, CA 92860(951) 737-2683(951) 273-2396 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Mar 20, 2020, Aug 5, 2019 (3 updates tracked since 2019).

About California Rehabilitation Center Pharmacy NPPES

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

CALIFORNIA REHABILITATION CENTER PHARMACY (NPI 1457906745) is a healthcare organization registered as a pharmacy in Norco, California and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Pierre Caesare Saucier James, Staff Services Manager I, as its authorized official.

NPPES Registry Identity

NPI1457906745
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCORRECTIONS AND REHABILITATION-HEADQUARTERS
Location Address5TH AND WESTERN AVE, MODULE M, ROOM #104Norco, CA 92860
Mailing Address5th And Western Ave, Module M, Room #104Norco, CA 92860 · (951) 737-2683 · Fax (951) 273-2396
Phone(951) 737-2683
Fax(951) 273-2396
Organization SubpartYesParent: Corrections And Rehabilitation
Authorized OfficialPierre Caesare Saucier JamesStaff Services Manager I · (510) 780-6997
Enumeration DateAugust 5, 2019
Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1457906745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X

Other Names 1

Doing Business AsCalifornia Rehabilitation Center Pharmacy

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 05D0891510

California Rehabilitation Center · Norco, CA
Active · expires Apr 5, 2027
CLIA Number05D0891510
Laboratory TypePrison
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorKenneth L. Maxwell, Do
Laboratory Phone(909) 737-2683
Laboratory LocationCalifornia Rehabilitation Center5th & Western, Norco, CA 92860
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Corrections And Rehabilitation-Headquarters's NPI number?

The NPI number for Corrections And Rehabilitation-Headquarters is 1457906745. It was assigned to this organization in the NPPES registry on August 5, 2019. The provider is doing business as California Rehabilitation Center Pharmacy.

Where is Corrections And Rehabilitation-Headquarters located?

Corrections And Rehabilitation-Headquarters is located at 5th And Western Ave, Module M, Room #104, Norco, CA 92860. The listed phone number is (951) 737-2683.

What is Corrections And Rehabilitation-Headquarters's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Corrections And Rehabilitation-Headquarters hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0891510) is associated with this NPI, valid through April 5, 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 Corrections And Rehabilitation-Headquarters was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.