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DESERT PARADISE DETOX & REHAB
NPI 1639910201
Substance Abuse Rehabilitation Facility in Palmdale, CA

Active since June 05, 2024
2124 W AVENUE O8, PALMDALE, CA 93551(818) 657-9497 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Desert Paradise Detox & Rehab NPPES

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

DESERT PARADISE DETOX & REHAB (NPI 1639910201) is a healthcare organization registered as a substance abuse rehabilitation facility in Palmdale, California and active in the NPI registry since June 2024. The organization lists Kendall Blackford, Operations, as its authorized official.

NPPES Registry Identity

NPI1639910201
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDESERT PARADISE DETOX & REHAB
Location Address2124 W AVENUE O8Palmdale, CA 93551-3371
Mailing Address2124 W Avenue O8Palmdale, CA 93551-3371
Phone(818) 657-9497
Organization SubpartNo
Authorized OfficialKendall BlackfordOperations · (661) 917-4442
Enumeration DateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1639910201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
2124 W AVENUE O8, Palmdale, CA 93551
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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 05D2309265

Desert Paradise Detox & Rehab · Palmdale, CA
Expired · Aug 11, 2026
CLIA Number05D2309265
Laboratory TypeSubstance Abuse Rehab Fac
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorKristen Nelson
Laboratory Phone(818) 657-9497
Laboratory LocationDesert Paradise Detox & Rehab2124 W Avenue O8, Palmdale, CA 93551
CLIA data matches this NPI record on: Address Name Phone
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 Desert Paradise Detox & Rehab's NPI number?

The NPI number for Desert Paradise Detox & Rehab is 1639910201. It was assigned to this organization in the NPPES registry on June 5, 2024.

Where is Desert Paradise Detox & Rehab located?

Desert Paradise Detox & Rehab is located at 2124 W Avenue O8, Palmdale, CA 93551. The listed phone number is (818) 657-9497.

What is Desert Paradise Detox & Rehab'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 Desert Paradise Detox & Rehab was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.