NPIMap

Organization Active NPI

The Mainstream Group, Inc

  • Substance Abuse Rehabilitation Facility
  • San Clemente, CA
National Provider Identifier
1043397466
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300084IN Issued in CA
Legal business name
THE MAINSTREAM GROUP, INC
Practice address
101 Avenida Serra
San Clemente, CA 92672-4760
Phone
(949) 366-9210
Fax
(949) 498-5706
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard G Cole
Title
Executive Director
Phone
(949) 366-9210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300084IN CA Primary

Addresses

Primary practice location

101 Avenida Serra
San Clemente, CA 92672-4760

Mailing address

101 Avenida Serra
San Clemente, CA 92672-4760
Phone (949) 366-9210

National Provider Directory

National Provider Directory

Locations

101 Avenida Serra
San Clemente, CA 92672
Phone (949) 366-9210

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043397466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENIDA SERRA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724760",
            "telephone_number": "949-366-9210",
            "fax_number": "949-498-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVENIDA SERRA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724760",
            "telephone_number": "949-366-9210",
            "fax_number": "949-498-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MAINSTREAM GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-366-9210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300084IN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.