NPIMap

Organization Active NPI

Oc Progressive Recovery Inc

  • Psychiatry Physician
  • Orange, CA
National Provider Identifier
1003340217
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OC PROGRESSIVE RECOVERY INC
Practice address
1100 W Stewart Dr
ER Department
Orange, CA 92868-3849
Phone
(714) 633-9111
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Ernest Rasyidi, M.D.NPI 1962644997
Title
Ceo
Phone
(949) 715-1272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1100 W Stewart Dr
ER Department
Orange, CA 92868-3849

Mailing address

26533 Evergreen Rd Ste 1200
Southfield, MI 48076-4249
Phone (714) 571-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170726000348 CA Part B Supplier - Clinic/Group Practice 7214207190 Receives reassigned benefits from 31 practitioners
Practice locations: Anaheim, CA; Orange, CA

National Provider Directory

National Provider Directory

Locations

18101 Von Karman Ave
Fl 3
Irvine, CA 92612

1 City Blvd W
Ste 1100
Orange, CA 92868

26533 Evergreen Rd
Ste 1200
Southfield, MI 48076

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1003340217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26533 EVERGREEN RD STE 1200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764249",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W STEWART DR",
            "address_2": "ER DEPARTMENT",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683849",
            "telephone_number": "714-633-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC PROGRESSIVE RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "RASYIDI",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-715-1272",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.