American Addiction Institute of Mind and Medicine

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

A100516 Issued in CA

Legal business name

AMERICAN ADDICTION INSTITUTE OF MIND AND MEDICINE

Practice address

1533 E 4TH St
Santa Ana, CA 92701-5115

Phone

(800) 779-4715

Fax

(949) 347-8709

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Faried Banimahd, MD

Title

Ceo

Phone

(949) 347-8721

Specialties & licenses 1

Addresses

Other names 1

• California Addiction Institute of Mind and Medicine Doing business as

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1023565579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD. A109-559",
            "address_2": "COSTA MESA",
            "city": "CALIFORNIA",
            "state": "CA",
            "postal_code": "92627",
            "telephone_number": "949-929-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 E 4TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015115",
            "telephone_number": "800-779-4715",
            "fax_number": "949-347-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ADDICTION INSTITUTE OF MIND AND MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "BANIMAHD",
        "authorized_official_first_name": "FARIED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-347-8721",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "A100516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Addiction Institute of Mind and Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Amaya
• Ambica Garg, MD, a Medical Corporation
• Hazel Ambriz
• Gemma Ambrose
• Karen Ambrosio
• American Ambulance LLC
• American Current Care of California, a Medical Corporation
• American Current Care of California, a Medical Corporation
• American Current Care of California, a Medical Corporation
• American Current Care of California, a Medical Corporation

• Substance Use Disorder Rehabilitation Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.