NPIMap

Organization Active NPI

Resurgence California, LLC

  • Physical Disabilities Residential Treatment Facility
  • Costa Mesa, CA
National Provider Identifier
1144873308
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
RESURGENCE CALIFORNIA, LLC
Practice address
3129 Pierce Ave
Costa Mesa, CA 92626-2827
Phone
(888) 700-5053
Fax
(949) 209-5490
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Tanisha Porreca
Title
Coo
Phone
(888) 700-5053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

3129 Pierce Ave
Costa Mesa, CA 92626-2827

Mailing address

3151 Airway Ave Ste E1
Costa Mesa, CA 92626-4620
Phone (888) 700-5053

National Provider Directory

National Provider Directory
Tax ID family
Resurgence California LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1144873308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE E1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264620",
            "telephone_number": "888-700-5053",
            "fax_number": "949-209-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 PIERCE AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262827",
            "telephone_number": "888-700-5053",
            "fax_number": "949-209-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCE CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "PORRECA",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "888-700-5053"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.