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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.