Organization Active NPI

Fresh Start of Los Angeles,LLC

Doing business as Fresh Start of California

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
National Provider Identifier
1174993356
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FRESH START OF LOS ANGELES,LLC
Doing business as
Fresh Start of California
Practice address
1210 N Ross St
Santa Ana, CA 92701-3320
Phone
(323) 419-7384
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Ms. Laritha Vaughn, CADC II, MA., MFTI
Title
Ceo / Owner
Phone
(323) 419-7384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1210 N Ross St
Santa Ana, CA 92701-3320

Mailing address

1210 N Ross St
Santa Ana, CA 92701-3320
Phone (323) 419-7384

Other names 1

  • FRESH START OF CALIFORNIA Doing business as

National Provider Directory

National Provider Directory

Locations

1210 N Ross St
Santa Ana, CA 92701
Phone (323) 419-7384

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1174993356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N ROSS ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013320",
            "telephone_number": "323-419-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N ROSS ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013320",
            "telephone_number": "323-419-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START OF LOS ANGELES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LARITHA",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "323-419-7384",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CADC II, MA., MFTI"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESH START OF CALIFORNIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.