Active NPI
Licensing and Accreditation Consultants LLC
- Substance Abuse Rehabilitation Facility
- Fullerton, CA
National Provider Identifier
1073228565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- LICENSING AND ACCREDITATION CONSULTANTS LLC
- Practice address
- 515 W Commonwealth Ave Ste 213
Fullerton, CA 92832-1752 - Phone
- (714) 232-0649
- NPI assigned
- Jan 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Craig Jewett, CADC-II
- Title
- Ceo
- Phone
- (714) 232-0649
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
515 W Commonwealth Ave Ste 213
Fullerton, CA 92832-1752
Mailing address
515 W Commonwealth Ave Ste 213
Fullerton, CA 92832-1752
Phone (714) 232-0649
National Provider Directory
National Provider DirectoryLocations
515 W Commonwealth Ave
Ste 213
Fullerton, CA 92832
Phone (657) 217-6644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674000000000",
"number": "1073228565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W COMMONWEALTH AVE STE 213",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321752",
"telephone_number": "714-232-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W COMMONWEALTH AVE STE 213",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321752",
"telephone_number": "714-232-0649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LICENSING AND ACCREDITATION CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A",
"authorized_official_last_name": "JEWETT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "CRAIG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-232-0649",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CADC-II"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.