Orange County Rehab

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300169BP Issued in CA

Legal business name

ORANGE COUNTY REHAB

Practice address

546 Hamilton St
Costa Mesa, CA 92627-2617

Phone

(949) 200-7924

Fax

(866) 703-9903

NPI assigned

Nov 12, 2013

Organization subpart

Yes

Parent organization

ORANGE COUNTY DETOX, INCAs reported in NPPES

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

Authorized official

Name

Kristena Serrano

Title

Program Director

Phone

(949) 200-7924

Specialties & licenses 1

Addresses

Tax ID family

Orange County Rehab2 organizations share this tax ID, including this one

Part of

Orange County Rehab

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orange County Detox

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1649641283
  NPD tax ID

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1083044044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 HAMILTON ST UNIT E1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275502",
            "telephone_number": "949-200-7924",
            "fax_number": "866-703-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 HAMILTON ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272617",
            "telephone_number": "949-200-7924",
            "fax_number": "866-703-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORANGE COUNTY DETOX, INC",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "KRISTENA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "949-200-7924"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300169BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange County Association for Mental Health (AMHS MHA Costa Mesa Outpatient Services)
• Orange County Department of Education
• Orange County Department of Education- Instructional Services
• Orange County Detox
• Orange County Occupational Therapy Inc
• Orange County Urgent Care #3, Inc. (MedPost Urgent Care - Costa Mesa)
• Ashley Orantes
• Jordan Alexander Oregel
• Monica M Orellana de Castaneda
• Rachel Sofia Orellana

• Substance Abuse Rehabilitation Facility in Costa Mesa, CA
• Providers in Costa Mesa, 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 Nov 12, 2013; 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.