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RESTORE DETOX CENTERS
NPI 1669918165
Substance Abuse Rehabilitation Facility in Poway, CA

Active since January 09, 2017CLIA 05D2131593 · Waiver
14099 SKY MOUNTAIN TRAIL, POWAY, CA 92064(949) 813-5161 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Restore Detox Centers NPPES

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

RESTORE DETOX CENTERS (NPI 1669918165) is a healthcare organization registered as a substance abuse rehabilitation facility in Poway, California and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists John Francisco Hernandez, Cmo, as its authorized official.

NPPES Registry Identity

NPI1669918165
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRESTORE DETOX CENTERS
Location Address14099 SKY MOUNTAIN TRAILPoway, CA 92064
Mailing Address14099 Sky Mountain TrailPoway, CA 92064 · (949) 813-5161
Phone(949) 813-5161
Organization SubpartNo
Authorized OfficialJohn Francisco HernandezCmo · (949) 813-5161
Enumeration DateJanuary 9, 2017
✔ NPI 1669918165 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.
14099 SKY MOUNTAIN TRAIL, Poway, CA 92064
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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 05D2131593

Restore Detox Centers · Poway, CA
Active · expires May 31, 2027
CLIA Number05D2131593
Laboratory TypeResidential Detox
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorClark E. Smith MD
Laboratory Phone(858) 842-4594
Laboratory LocationRestore Detox Centers14099 Sky Mountain Trail, Poway, CA 92064
CLIA data matches this NPI record on: Address 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 Restore Detox Centers's NPI number?

The NPI number for Restore Detox Centers is 1669918165. It was assigned to this organization in the NPPES registry on January 9, 2017.

Where is Restore Detox Centers located?

Restore Detox Centers is located at 14099 Sky Mountain Trail, Poway, CA 92064. The listed phone number is (949) 813-5161.

What is Restore Detox Centers's specialty?

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

Does Restore Detox Centers hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2131593) is associated with this NPI, valid through May 31, 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 Restore Detox Centers was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.