Organization Active NPI

Sunset Shores Recovery

  • Substance Abuse Rehabilitation Facility
  • Newport Beach, CA
National Provider Identifier
1194212217
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SUNSET SHORES RECOVERY
Practice address
901 Dover Dr Ste 235
Newport Beach, CA 92660-5515
Phone
(949) 393-8800
NPI assigned
Apr 13, 2018
Last updated
Apr 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Mark Williams
Title
President
Phone
(781) 330-2124

Specialties & licenses 1

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

Addresses

Primary practice location

901 Dover Dr Ste 235
Newport Beach, CA 92660-5515

Mailing address

901 Dover Dr Ste 235
Newport Beach, CA 92660-5515
Phone (949) 393-8800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1194212217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605515",
            "telephone_number": "949-393-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605515",
            "telephone_number": "949-393-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET SHORES RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-330-2124"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.