Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Duangtavan Sourivong

Methadone Clinic in San Diego, CA · enumerated 2007 · authorized official Bobby Stearns, Clinic Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285821389

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Registry record

Entity type Organization (Type 2)

Legal business name Duangtavan Sourivong

Practice address 3940 Home Ave, San Diego, CA, 92105

Phone (619) 262-8000

Enumeration date Oct 2, 2007

Last updated in NPPES Oct 2, 2007

Taxonomy & classification

261QM2800X Methadone Clinic Ambulatory Health Care Facilities Primary

Authorized official

Name Bobby Stearns

Title Clinic Director

Phone (619) 262-8000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-02. Verify at npiregistry.cms.hhs.gov.

Where is Duangtavan Sourivong located?

The practice location on file with NPPES is in San Diego, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-02.