Organization Active NPI

Pacific Hills Treatment Centers, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • San Juan Capistrano, CA
National Provider Identifier
1104058403
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
300074DP Issued in CA
Legal business name
PACIFIC HILLS TREATMENT CENTERS, INC.
Practice address
27184 Ortega Hwy Ste 206
San Juan Capistrano, CA 92675-5700
Phone
(949) 248-5335
Fax
(949) 248-4275
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Ms. Susan Kay Sloan
Title
VP Administration
Phone
(949) 248-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 300074DP CA Primary

Addresses

Primary practice location

27184 Ortega Hwy Ste 206
San Juan Capistrano, CA 92675-5700

Mailing address

32236 Paseo Adelanto
Suite G
San Juan Capistrano, CA 92675-3609
Phone (949) 248-5335

Other practice location 1

27442 Calle Arroyo
Suite B
San Juan Capistrano, CA 92675-6752
Phone (949) 248-5335

Other names 1

  • Covenant Hills Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacific Hills Treatment Centers Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

27442 Calle Arroyo
Ste B
San Juan Capistrano, CA 92675
Phone (949) 248-5335

27184 Ortega Hwy
Ste 206
San Juan Capistrano, CA 92675
Phone (949) 248-5335

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1104058403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32236 PASEO ADELANTO",
            "address_2": "SUITE G",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753609",
            "telephone_number": "949-248-5335",
            "fax_number": "949-248-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27184 ORTEGA HWY STE 206",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926755700",
            "telephone_number": "949-248-5335",
            "fax_number": "949-248-4275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27442 Calle Arroyo",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926756752",
            "country_code": "US",
            "telephone_number": "949-248-5335",
            "fax_number": "949-248-4275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC HILLS TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "VP ADMINISTRATION",
        "authorized_official_telephone_number": "949-248-5335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "300074DP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.