Active NPI
Spark to Recovery Inc
Doing business as Concise Detox Center
- Substance Abuse Rehabilitation Facility
- Sherman Oaks, CA
National Provider Identifier
1144867060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SPARK TO RECOVERY INC
- Doing business as
- Concise Detox Center
- Practice address
- 5449 Woodman Ave
Sherman Oaks, CA 91401-5832 - Phone
- (818) 818-0202
- NPI assigned
- Dec 10, 2019
- Last updated
- Sep 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hala Aziz
- Title
- Authorized Official
- Phone
- (949) 701-9271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
5449 Woodman Ave
Sherman Oaks, CA 91401-5832
Mailing address
5449 Woodman Ave
Sherman Oaks, CA 91401-5832
Other names 1
- Concise Detox Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2233458 | Spark to Recovery Inc | Certificate of waiver | Dec 1, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Los Angeles, CA
- NPI 1932472883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1144867060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5449 WOODMAN AVE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914015832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5449 WOODMAN AVE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914015832",
"telephone_number": "818-818-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPARK TO RECOVERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-10",
"last_updated": "2025-09-02",
"certification_date": "2024-12-12",
"status": "A",
"authorized_official_last_name": "AZIZ",
"authorized_official_first_name": "HALA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "949-701-9271"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Concise Detox Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.