Discovery Practice Management, INC.
Psychiatric Residential Treatment Facility in San Jacinto, CA. Organization (NPI-2).
NPI number1801439641
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1801439641
- Entity type
- Organization (NPI-2)
- Legal business name
- Discovery Practice Management, INC.
- Organization subpart
- Yes
- Enumeration date
- Oct 24, 2019
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | Yes |
Other names
- Discovery Mood & Anxiety Program, San Jacinto (Riverside) (Doing Business As)
Practice location
1119 W 7th StSan Jacinto, CA 92582-3856
Phone 714-828-1800 · Fax 714-882-1186
Mailing address
18401 Von Karman Ave Ste 500Irvine, CA 92612-8531
Phone 714-828-1800 · Fax 714-882-1186
Authorized official
Magdalen Gustilo
Director Of Payer Relations
7145687667
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