NPIMap

Organization Active NPI

Surf City Recovery

  • Community/Behavioral Health Agency
  • Huntington Beach, CA
National Provider Identifier
1104286731
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SURF CITY RECOVERY
Practice address
18090 Beach Blvd
Suite 6
Huntington Beach, CA 92648-1327
Phone
(714) 841-2430
NPI assigned
Feb 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Debra Kelsey, CADC II CCS
Title
Director
Phone
(714) 641-2430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

18090 Beach Blvd
Suite 6
Huntington Beach, CA 92648-1327

Mailing address

18090 Beach Blvd
Suite 6
Huntington Beach, CA 92648-1327
Phone (714) 841-2430

National Provider Directory

National Provider Directory
Tax ID family
Surf City Recovery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1104286731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18090 BEACH BLVD",
            "address_2": "SUITE 6",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481327",
            "telephone_number": "714-841-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18090 BEACH BLVD",
            "address_2": "SUITE 6",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481327",
            "telephone_number": "714-841-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURF CITY RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-641-2430",
        "authorized_official_credential": "CADC II CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.