NPIMap

Organization Active NPI

Southern California Alcohol and Drug Recovery Foundation

  • Substance Abuse Rehabilitation Facility
  • Mission Viejo, CA
National Provider Identifier
1124455738
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOUTHERN CALIFORNIA ALCOHOL AND DRUG RECOVERY FOUNDATION
Practice address
25332 Pacifica Ave
Mission Viejo, CA 92691-3843
Phone
(714) 319-7899
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Mr. Kevin C Yarter
Title
Executive Director
Phone
(714) 319-7899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CA
Substance Abuse Rehabilitation Facility 324500000X CA Primary

Addresses

Primary practice location

25332 Pacifica Ave
Mission Viejo, CA 92691-3843

Mailing address

PO Box 3453
Costa Mesa, CA 92628-3453
Phone (714) 319-7899

National Provider Directory

National Provider Directory
Tax ID family
Scadrf2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1124455738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3453",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926283453",
            "telephone_number": "714-319-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25332 PACIFICA AVE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913843",
            "telephone_number": "714-319-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA ALCOHOL AND DRUG RECOVERY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "YARTER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-319-7899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.