Medichex, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MEDICHEX, INC

Doing business as

Lift Off Recovery

Practice address

1910 Sandalwood Ave
Fullerton, CA 92835-2260

Phone

(714) 844-2858

Fax

(714) 276-9997

NPI assigned

Apr 13, 2022

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDICHEXAs reported in NPPES

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

Authorized official

Name

Trinajoy Aguilar

Title

Program Director

Phone

(714) 381-0432

Specialties & licenses 1

Addresses

Other names 1

• Lift Off Recovery Doing business as

Electronic endpoints 1

Tax ID family

Medichex Inc2 organizations share this tax ID, including this one

Part of

Medichex Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medichex, Inc

  dba Lift Off

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Anaheim, CA
  • NPI 1447816509
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medichex, Inc

  dba Lift Off

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Anaheim, CA
  • NPI 1447816509
  NPPES parent name

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1235871716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 W EMBASSY ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021016",
            "telephone_number": "714-844-2858",
            "fax_number": "714-276-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SANDALWOOD AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352260",
            "telephone_number": "714-844-2858",
            "fax_number": "714-276-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICHEX, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICHEX",
        "enumeration_date": "2022-04-13",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "TRINAJOY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "714-381-0432"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trina@liftoffrecovery.com",
            "affiliation": "N",
            "address_1": "1910 Sandalwood Ave",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928352260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lift Off Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medauxillium
• Traci F Medeiros, LMFT
• Alec Michael Meden
• Medical and Healing Arts, Inc
• Medical Center for Women
• Alina Medina
• Jaymi Noelle Medina
• Jazmine Sabrina Medina
• Michael Alexander Medina, PA
• Vanessa Medina

• Substance Abuse Rehabilitation Facility in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.