OrganizationActive
San Diego Detox
NPI 1043768484 · Substance Abuse Rehabilitation Facility · Corona, CA
Provider details
- NPI number
- 1043768484
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jason Monroe, Chief Operating Officer(602) 550-2211
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9480 Pats Point Dr
Corona, CA 92883-5014
Phone: (951) 319-7995
Street-level locationGet directions
Mailing address
Po Box 51310
Los Angeles, CA 90051-5610
Registry dates
- Enumerated
- 2016-09-14
- Last updated
- 2017-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.