San Diego Detox LLC
NPI 1508587452 · Substance Abuse Rehabilitation Facility · Lakeside, CA
San Diego Detox LLC is a Substance Abuse Rehabilitation Facility organization in Lakeside, CA (NPI 1508587452).
Provider details
- NPI number
- 1508587452
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Thomas Hathorn, Owner/Ceo(619) 433-4971
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
3 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
- 2022-09-08
- Last updated
- 2022-09-22
- Certified
- 2022-09-22
Frequently asked questions
- What is San Diego Detox LLC's NPI number?
- San Diego Detox LLC's National Provider Identifier (NPI) is 1508587452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Diego Detox LLC?
- San Diego Detox LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is San Diego Detox LLC located?
- San Diego Detox LLC's practice location on file with NPPES is 16916b Deer Hill Ests, Lakeside, CA 92040-1101.
- What is San Diego Detox LLC's phone number?
- The practice phone number listed in the NPPES registry for San Diego Detox LLC is (619) 433-4971.
- Who is the authorized official for San Diego Detox LLC?
- The authorized official listed on San Diego Detox LLC's NPPES record is Thomas Hathorn, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Diego Detox LLC's NPI active?
- Yes — San Diego Detox LLC's NPI (1508587452) is active in the NPPES registry as of the last update on 2022-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.