Palm Detox, Inc
NPI 1558872614 · Substance Abuse Rehabilitation Facility · La Mesa, CA
Palm Detox, Inc is a Substance Abuse Rehabilitation Facility organization in La Mesa, CA (NPI 1558872614).
Provider details
- NPI number
- 1558872614
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robert Niznik, Ceo(855) 494-5796
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
8 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
- Palm Detox, Inc
- Doing business as
- Paradise Detox, Inc
Registry dates
- Enumerated
- 2017-10-17
- Last updated
- 2020-05-29
- Certified
- 2020-05-29
Frequently asked questions
- What is Palm Detox, Inc's NPI number?
- Palm Detox, Inc's National Provider Identifier (NPI) is 1558872614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Palm Detox, Inc?
- Palm Detox, Inc is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Palm Detox, Inc located?
- Palm Detox, Inc's practice location on file with NPPES is 5455 Connecticut Ave, La Mesa, CA 91942-1215.
- What is Palm Detox, Inc's phone number?
- The practice phone number listed in the NPPES registry for Palm Detox, Inc is (855) 494-5796.
- Who is the authorized official for Palm Detox, Inc?
- The authorized official listed on Palm Detox, Inc's NPPES record is Robert Niznik, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Palm Detox, Inc's NPI active?
- Yes — Palm Detox, Inc's NPI (1558872614) is active in the NPPES registry as of the last update on 2020-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.