Organization Active NPI

Octlc, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Anaheim, CA
National Provider Identifier
1003280348
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
306004787 Issued in CA
Legal business name
OCTLC, INC
Practice address
7888 E Autry Dr
Anaheim, CA 92808-1306
Phone
(949) 407-9052
Fax
(833) 930-2303
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sayeh Seyedfathi
Title
Ceo
Phone
(818) 636-2938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 306004787 CA Primary

Addresses

Primary practice location

7888 E Autry Dr
Anaheim, CA 92808-1306

Mailing address

3943 Irvine Blvd # 5
Irvine, CA 92602-2400
Phone (818) 636-2938

Other practice location 1

356 Vesuvius Dr
Brea, CA 92823-6343
Phone (818) 636-2938

Other practice location 2

7898 E Autry Dr
Anaheim, CA 92808-1306
Phone (818) 636-2938

Other names 1

  • sustain recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Octlc Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1003280348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 IRVINE BLVD # 5",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022400",
            "telephone_number": "818-636-2938",
            "fax_number": "949-381-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7888 E AUTRY DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081306",
            "telephone_number": "949-407-9052",
            "fax_number": "833-930-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "356 Vesuvius Dr",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928236343",
            "country_code": "US",
            "telephone_number": "818-636-2938",
            "fax_number": "833-930-2303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7898 E Autry Dr",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928081306",
            "country_code": "US",
            "telephone_number": "818-636-2938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCTLC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "SEYEDFATHI",
        "authorized_official_first_name": "SAYEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-636-2938"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "306004787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sustain recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.