NPIMap

Organization Active NPI

Asana Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Costa Mesa, CA
National Provider Identifier
1023695145
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ASANA RECOVERY
Practice address
3073 Madison Ave
Costa Mesa, CA 92626-2823
Phone
(310) 999-2242
NPI assigned
Mar 25, 2021
Last updated
Mar 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Mark Shandrow
Title
Ceo
Phone
(949) 438-4504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3073 Madison Ave
Costa Mesa, CA 92626-2823

Mailing address

1730 Pomona Ave Ste 3
Costa Mesa, CA 92627-3628
Phone (310) 999-2242

National Provider Directory

National Provider Directory
Tax ID family
Asana Recovery6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1023695145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 POMONA AVE STE 3",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273628",
            "telephone_number": "310-999-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 MADISON AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262823",
            "telephone_number": "310-999-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASANA RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "SHANDROW",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-438-4504"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.