Transforming Life Outpatient Program, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

TRANSFORMING LIFE OUTPATIENT PROGRAM, LLC

Doing business as

Transforming Life Center
Transforming Life Residential Treatment Program

Practice address

201 S Lakeview Ave Ste 249
Placentia, CA 92870-6710

Phone

(818) 590-0134

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Siamak Afshar

Title

Program Director

Phone

(818) 590-0134

Specialties & licenses 2

Addresses

Other names 2

• Transforming Life Center Doing business as
• Transforming Life Residential Treatment Program Doing business as

Locations

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1205493673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5782 OHIO ST",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LAKEVIEW AVE STE 249",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706710",
            "telephone_number": "818-590-0134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5782 Ohio St",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928865321",
            "country_code": "US",
            "telephone_number": "818-590-0134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSFORMING LIFE OUTPATIENT PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "AFSHAR",
        "authorized_official_first_name": "SIAMAK",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "818-590-0134"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transforming Life Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Transforming Life Residential Treatment Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Anne Tran, DNP, APRN, FNP-C
• Megan Lew Tran
• Michael Nguyen Tran, M.D.
• Thien-Van Tran
• Trung Tran, BA
• Travel Nurse Solutions
• Jennifer Treadway-Molle, M.A., LMFT
• Trinh Tuan Nguyen DMD a Dental Corporation (Cosmetic and Dental Implant Center / Cypress Smiles Dentistry)
• Tran Trinh
• Joel A Trotter, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Placentia, CA
• Providers in Placentia, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.