1. Home
  2. Directory
  3. California
  4. Cathedral City
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

CANYON SPRINGS COMMUNITY FACILITY
NPI 1730130097
Intermediate Care Facility, Intellectual Disabilities in Cathedral City, CA

Active since May 12, 2006CLIA 05D0979415 · Waiver
69696 RAMON RD, CATHEDRAL CITY, CA 92234(760) 770-6200(760) 328-2769 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 29, 2021, May 13, 2019 (2 updates tracked since 2019).

About Canyon Springs Community Facility NPPES

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

CANYON SPRINGS COMMUNITY FACILITY (NPI 1730130097) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Cathedral City, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Carla A Castaneda, Chief Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1730130097
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES
Location Address69696 RAMON RDCathedral City, CA 92234-3353
Mailing Address1215 O Street, Cfs: Ms 10-30Sacramento, CA 95814 · (916) 654-3463 · Fax (916) 653-4587
Phone(760) 770-6200
Fax(760) 328-2769
Organization SubpartNo
Authorized OfficialCarla A CastanedaChief Deputy Director · (916) 654-2822
Enumeration DateMay 12, 2006
Last NPPES UpdateJune 29, 20212 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1730130097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in CA · 170000774
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 170000774 (CA)
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License 170000774 (CA)
Also ListedPharmacyTaxonomy 333600000X · License 170000774 (CA)
69696 RAMON RD, Cathedral City, CA 92234
Open in Google Maps ↗

Other Names 1

Doing Business AsCanyon Springs Community Facility

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 05D0979415

Canyon Springs · Cathedral City, CA
Active · expires Oct 19, 2026
CLIA Number05D0979415
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorManal R. Solimon MD
Laboratory Phone(760) 770-7035
Laboratory LocationCanyon Springs69-696 Ramon Rd, Cathedral City, CA 92234
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 State Of California - Department Of Developmental Services's NPI number?

The NPI number for State Of California - Department Of Developmental Services is 1730130097. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Canyon Springs Community Facility.

Where is State Of California - Department Of Developmental Services located?

State Of California - Department Of Developmental Services is located at 69696 Ramon Rd, Cathedral City, CA 92234. The listed phone number is (760) 770-6200.

What is State Of California - Department Of Developmental Services's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does State Of California - Department Of Developmental Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0979415) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for State Of California - Department Of Developmental Services was last updated on June 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.