Physician Nutraceutical Research, Inc
NPI 1154627925 · Substance Abuse Rehabilitation Facility · San Clemente, CA
Physician Nutraceutical Research, Inc is a Substance Abuse Rehabilitation Facility organization in San Clemente, CA (NPI 1154627925).
Provider details
- NPI number
- 1154627925
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Willa Lilly, Executive Director(888) 508-3371
- License
- 300189BP (CA)
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Other names (DBA / former)
- Doing business as
- Dr. Willa'S House
Registry dates
- Enumerated
- 2011-01-26
- Last updated
- 2011-01-26
Frequently asked questions
- What is Physician Nutraceutical Research, Inc's NPI number?
- Physician Nutraceutical Research, Inc's National Provider Identifier (NPI) is 1154627925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physician Nutraceutical Research, Inc?
- Physician Nutraceutical Research, Inc is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Physician Nutraceutical Research, Inc located?
- Physician Nutraceutical Research, Inc's practice location on file with NPPES is 140 Avenida Algodon, San Clemente, CA 92672-4182.
- What is Physician Nutraceutical Research, Inc's phone number?
- The practice phone number listed in the NPPES registry for Physician Nutraceutical Research, Inc is (888) 508-3371.
- Who is the authorized official for Physician Nutraceutical Research, Inc?
- The authorized official listed on Physician Nutraceutical Research, Inc's NPPES record is Willa Lilly, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physician Nutraceutical Research, Inc's NPI active?
- Yes — Physician Nutraceutical Research, Inc's NPI (1154627925) is active in the NPPES registry as of the last update on 2011-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.