IndividualActive
John Nipper
NPI 1710285283 · Substance Abuse Rehabilitation Facility · Mira Loma, CA
Provider details
- NPI number
- 1710285283
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(75/100 index)
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
83% 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
11221 Holmes Ave
Mira Loma, CA 91752-2552
Phone: (951) 741-5004
Street-level locationGet directions
Mailing address
11221 Holmes Ave
Mira Loma, CA 91752-2552
Registry dates
- Enumerated
- 2011-03-08
- Last updated
- 2011-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.