10 ACRE RANCH – NPI #1053724716
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

10 ACRE RANCH is a substance abuse rehabilitation facility located in TUSTIN, CA. NPPES has assigned the NPI number 1053724716 to 10 ACRE RANCH on June 10, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on May 28, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 10 ACRE RANCH below.

NPI Profile for
10 ACRE RANCH

NPI Number
1053724716
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
10 ACRE RANCH
Primary location
18002 IRVINE BLVD
TUSTIN, CA 92780-3301
Phone: (866) 274-9892 Fax:
1 Other location(s):
4175 Brockton Ave
Riverside, CA 92501-3442
Phone: (877) 228-4679
Fax: (951) 602-6655
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ISMAIL JADALLAH
ADMINISTRATOR
Phone: (949) 381-9159
Updated
Certification Date
May 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.