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

NPI Status: Active since November 02, 2015

Contact Information

39990 FAURE RD
HEMET, CA
ZIP 92544
Phone: (916) 930-3981

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Substance Abuse Treatment, Children
  • CLIA Number: 05D2123687
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 12-27-2026

About DESERT SAGE YOUTH WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Desert Sage Youth Wellness Center, a provider established in Hemet, California operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1780057521 assigned on November 2015. The practitioner's primary taxonomy code is 3245S0500X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Desert Sage Youth Wellness Center. The authorized official of this NPI record is Beverly Miller (California Area Director)

NPI
1780057521
Provider Legal Name
DHHS IHS CAO DESERT SAGE YOUTH WELLNESS CENTER
Other Organization Name
DESERT SAGE YOUTH WELLNESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
39990 FAURE RD HEMET, CA 92544
Location Phone
(916) 930-3981
Mailing Address
650 CAPITOL MALL RM 7100 SACRAMENTO, CA 95814
Mailing Phone
(916) 930-3981
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2015
Last Update Date
12-14-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children

Taxonomy Code
3245S0500X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BEVERLY MILLER

Authorized Official Title
CALIFORNIA AREA DIRECTOR
Authorized Official Phone
(916) 930-3981

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2123687
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
December 28, 2024
Certificate Expiration Date
December 27, 2026
Laboratory Director
KANGEYAN PACHAIYAPPAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Desert Sage Youth Wellness Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780057521, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 0 + 5 + 1 + 4 + 5 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1780057521.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Psychologist
39990 FAURE RD
HEMET, CA 92544
Social Worker (Clinical)
39990 FAURE RD
HEMET, CA 92544
Counselor (Addiction (Substance Use Disorder))
39990 FAURE RD
HEMET, CA 92544
Social Worker
39990 FAURE RD
HEMET, CA 92544
Social Worker
39990 FAURE RD
HEMET, CA 92544
Psychiatry & Neurology (Psychiatry)
39990 FAURE RD
HEMET, CA 92544
Counselor (Addiction (Substance Use Disorder))
39990 FAURE RD
HEMET, CA 92544
Social Worker (Clinical)
39990 FAURE RD
HEMET, CA 92544
Nurse Practitioner (Family)
39990 FAURE RD
HEMET, CA 92544
Social Worker (Clinical)
39990 FAURE RD
HEMET, CA 92544
Social Worker (Clinical)
39990 FAURE RD
HEMET, CA 92544
Nurse Practitioner (Primary Care)
39990 FAURE RD
HEMET, CA 92544
Licensed Psychiatric Technician
39990 FAURE RD
HEMET, CA 92544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780057521, enumerated as an "organization" on November 02, 2015.

The provider is located at 39990 FAURE RD HEMET, CA 92544 and the phone number is (916) 930-3981.

Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.