FASHION VALLEY CLINIC
NPI 1700989829
Clinic/Center - Methadone in San Diego, CA

Q: What is San Diego Health Alliance's NPI number?

The NPI number for San Diego Health Alliance is 1700989829. It was assigned to this organization in the NPPES registry on September 6, 2006. The provider is doing business as Fashion Valley Clinic.

Q: What is San Diego Health Alliance's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since September 06, 2006CLIA 05D1044705 · Waiver

7545 METROPOLITAN DR, SAN DIEGO, CA 92108(619) 718-9890(619) 718-9897 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Jan 15, 2020, Nov 22, 2016 (3 updates tracked since 2016).

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About Fashion Valley Clinic NPPES

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

FASHION VALLEY CLINIC (NPI 1700989829) is a healthcare organization registered as a methadone in San Diego, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Brian Phillip Farley, Vp & Secretary, as its authorized official.

NPPES Registry Identity

NPI1700989829

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameSAN DIEGO HEALTH ALLIANCE

Location Address7545 METROPOLITAN DRSan Diego, CA 92108-4402

Mailing Address6183 Paseo Del Norte Ste 200Carlsbad, CA 92011-1151 · (855) 259-2288

Phone(619) 718-9890

Fax(619) 718-9897

Organization SubpartYesParent: Acadia Healthcare Company, Inc.

Authorized OfficialBrian Phillip FarleyVp & Secretary · (615) 861-6000

Enumeration DateSeptember 6, 2006

Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration

NPPES CertifiedAugust 10, 2023

✔ NPI 1700989829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 37-15 (CA)

7545 METROPOLITAN DR, San Diego, CA 92108

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Other Names 1

Doing Business AsFashion Valley Clinic

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 05D1044705

San Diego Health Alliance, Inc Dba Fashion Valley Clinic · San Diego, CA

Active · expires Aug 24, 2027

CLIA Number05D1044705

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateAugust 25, 2025

Certificate Expiration DateAugust 24, 2027

Laboratory DirectorDr. Martin Shakyan

Laboratory Phone(619) 718-9890

Laboratory LocationSan Diego Health Alliance, Inc Dba Fashion Valley Clinic7545 Metropolitan Dr, San Diego, CA 92108

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

835 services43 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

807 services32 patients

Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) G2074

Medication Assisted Treatment is a comprehensive program for managing substance use. It includes counseling (both individual and group), along with regular toxicology testing if required. This service is provided by a Medicare-enrolled opioid treatment program.

589 services34 patients

Other Providers at the Same Location NPPES 20

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

MICHELLE ANN GAIQUINTA

Counselor (Addiction (Substance Use Disorder))