Gevs Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GEVS RECOVERY CENTER

Practice address

19448 Lassen St
Northridge, CA 91324-1121

Phone

(949) 212-8114

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Stanislav Kolbasov

Title

Ceo, Cfo, Secretary

Phone

(949) 212-8114

Specialties & licenses 1

Addresses

Other names 1

• Milestone Treatment Center Doing business as

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688774400000",
    "number": "1023700085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19448 LASSEN ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19448 LASSEN ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241121",
            "telephone_number": "949-212-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEVS RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A",
        "authorized_official_last_name": "KOLBASOV",
        "authorized_official_first_name": "STANISLAV",
        "authorized_official_title_or_position": "CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "949-212-8114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beshoy Gerges, PHARMD
• Chirstina Gergis
• Marvy Youssef Gergis
• Ryann Gelon Baylon Gestopa, NP
• Melinda Gevorgian, DO
• Daniel David Ghalchi, M.D.
• Afnan Ghani, LMFT
• Varand Ghazikhanian, MD
• Armaghan Ghiai, DC
• Marjaneh Ghiai, D.C. QME.

• Substance Abuse Rehabilitation Facility in Northridge, CA
• Providers in Northridge, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; 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.