OrganizationActive
Crc Home Avenue Clinic
NPI 1285986430 · Methadone Clinic · San Diego, CA
Crc Home Avenue Clinic is a Methadone Clinic organization in San Diego, CA (NPI 1285986430).
Provider details
- NPI number
- 1285986430
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandee Richardson, Program Director(619) 262-8000
- License
- 37-07 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
3940 Home Ave
San Diego, CA 92105-5952
Phone: (619) 262-8800
Fax: (619) 266-7405
Street-level locationGet directions
Mailing address
3940 Home Ave
San Diego, CA 92105-5952
Registry dates
- Enumerated
- 2012-10-12
- Last updated
- 2012-10-12
Frequently asked questions
- What is Crc Home Avenue Clinic's NPI number?
- Crc Home Avenue Clinic's National Provider Identifier (NPI) is 1285986430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crc Home Avenue Clinic?
- Crc Home Avenue Clinic is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Crc Home Avenue Clinic located?
- Crc Home Avenue Clinic's practice location on file with NPPES is 3940 Home Ave, San Diego, CA 92105-5952.
- What is Crc Home Avenue Clinic's phone number?
- The practice phone number listed in the NPPES registry for Crc Home Avenue Clinic is (619) 262-8800.
- Who is the authorized official for Crc Home Avenue Clinic?
- The authorized official listed on Crc Home Avenue Clinic's NPPES record is Sandee Richardson, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crc Home Avenue Clinic's NPI active?
- Yes — Crc Home Avenue Clinic's NPI (1285986430) is active in the NPPES registry as of the last update on 2012-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.