Southern California Detox
NPI 1104255025 · Substance Abuse Rehabilitation Facility · Temecula, CA
Southern California Detox is a Substance Abuse Rehabilitation Facility organization in Temecula, CA (NPI 1104255025).
Provider details
- NPI number
- 1104255025
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Johnson, Ceo(714) 854-2026
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-11-01
- Last updated
- 2015-05-19
Frequently asked questions
- What is Southern California Detox's NPI number?
- Southern California Detox's National Provider Identifier (NPI) is 1104255025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern California Detox?
- Southern California Detox is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Southern California Detox located?
- Southern California Detox's practice location on file with NPPES is 42012 Dahlia Way, Temecula, CA 92591-5356.
- What is Southern California Detox's phone number?
- The practice phone number listed in the NPPES registry for Southern California Detox is (714) 854-2026.
- Who is the authorized official for Southern California Detox?
- The authorized official listed on Southern California Detox's NPPES record is David Johnson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern California Detox's NPI active?
- Yes — Southern California Detox's NPI (1104255025) is active in the NPPES registry as of the last update on 2015-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.