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DESERT SAGE YOUTH WELLNESS CENTER
NPI 1780057521
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Hemet, CA

Active since November 02, 2015CLIA 05D2123687 · Waiver
39990 FAURE RD, HEMET, CA 92544(916) 930-3981 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 14, 2022, May 19, 2020 (2 updates tracked since 2020).

About Desert Sage Youth Wellness Center NPPES

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

DESERT SAGE YOUTH WELLNESS CENTER (NPI 1780057521) is a healthcare organization registered as a substance abuse treatment, children in Hemet, California and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Beverly Miller, California Area Director, as its authorized official.

NPPES Registry Identity

NPI1780057521
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameDHHS IHS CAO DESERT SAGE YOUTH WELLNESS CENTER
Location Address39990 FAURE RDHemet, CA 92544-9408
Mailing Address650 Capitol Mall Rm 7100Sacramento, CA 95814-4706 · (916) 930-3981
Phone(916) 930-3981
Organization SubpartNo
Authorized OfficialBeverly MillerCalifornia Area Director · (916) 930-3981
Enumeration DateNovember 2, 2015
Last NPPES UpdateDecember 14, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1780057521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

39990 FAURE RD, Hemet, CA 92544
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Other Names 1

Doing Business AsDesert Sage Youth Wellness Center

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 05D2123687

Desert Sage Youth Wellness Center Dhhs Ihs Cao Desert Sage Youth Wellness Center · Hemet, CA
Active · expires Dec 27, 2026
CLIA Number05D2123687
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorKangeyan Pachaiyappan
Laboratory Phone(916) 930-3981
Laboratory LocationDesert Sage Youth Wellness Center Dhhs Ihs Cao Desert Sage Youth Wellness Center39990 Faure Road, Hemet, CA 92544
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

DR. EMILY LAVERN STREETER PSY.D.
Psychologist
39990 FAURE RD
HEMET, CA 92544
Riverside County (951) 708-4019
MS. RENEE COLETTE O'BRIEN L.C.S.W.
Social Worker (Clinical)
39990 FAURE RD
HEMET, CA 92544
Riverside County (951) 708-4019
MS. ADELE MARIE YUTH LASAC
Counselor (Addiction (Substance Use Disorder))
39990 FAURE RD
HEMET, CA 92544
Riverside County (951) 708-4019
PASCALE BROWN LCSW
Social Worker
39990 FAURE RD
HEMET, CA 92544
Riverside County (951) 708-4054
MR. KUFREABASI IDIONG
Social Worker
39990 FAURE RD
HEMET, CA 92544
Riverside County (951) 708-4020
KANGEYAN PACHAIYAPPAN M.D.
Psychiatry & Neurology (Psychiatry)
39990 FAURE RD
HEMET, CA 92544
Riverside County (951) 708-4019
EARL DALE FAIN
Counselor (Addiction (Substance Use Disorder))
39990 FAURE RD
HEMET, CA 92544
Riverside County (951) 708-4019
MRS. ADELINE ARANAYDO MENENDEZ
Social Worker (Clinical)
39990 FAURE RD
HEMET, CA 92544
Riverside County (951) 708-4019

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 Dhhs Ihs Cao Desert Sage Youth Wellness Center's NPI number?

The NPI number for Dhhs Ihs Cao Desert Sage Youth Wellness Center is 1780057521. It was assigned to this organization in the NPPES registry on November 2, 2015.

Where is Dhhs Ihs Cao Desert Sage Youth Wellness Center located?

Dhhs Ihs Cao Desert Sage Youth Wellness Center is located at 39990 Faure Rd, Hemet, CA 92544. The listed phone number is (916) 930-3981.

What is Dhhs Ihs Cao Desert Sage Youth Wellness Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does Dhhs Ihs Cao Desert Sage Youth Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2123687) is associated with this NPI, valid through December 27, 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 Dhhs Ihs Cao Desert Sage Youth Wellness Center was last updated on December 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.