Shreya Health of California

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SHREYA HEALTH OF CALIFORNIA

Practice address

1201 Puerta del Sol Ste 224
San Clemente, CA 92673-6310

Phone

(949) 522-9553

Fax

(949) 326-0345

NPI assigned

Jan 18, 2010

Organization subpart

No

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

Authorized official

Name

Ron Girskis

Title

Business Operation Specialist

Phone

(949) 359-8273

Specialties & licenses 1

Addresses

Tax ID family

Shreya Health of California2 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.

• Shreya Health of California, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Clemente, CA
  • NPI 1821499286
  NPD tax ID

Locations

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1144551052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5915",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926745915",
            "telephone_number": "949-625-0376",
            "fax_number": "949-390-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PUERTA DEL SOL STE 224",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736310",
            "telephone_number": "949-522-9553",
            "fax_number": "949-326-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREYA HEALTH OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "GIRSKIS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "BUSINESS OPERATION SPECIALIST",
        "authorized_official_telephone_number": "949-359-8273"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Shokouhi, MD
• Carolyn Dawn Shook, MFT
• Shore Light Behavioral Health LLC
• Shore Light Behavioral Health LLC
• Shorecliffs Medical Group Inc
• Shreya Health of California, Inc.
• Lisa Shue, MD
• Mark S Shulman, MD
• Eric Sickinger, D.O.
• Gregory Todd Siebert, DC

• Substance Use Disorder Rehabilitation Clinic/Center in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.