Advance Life Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ADVANCE LIFE RECOVERY

Practice address

9350 Tampa Ave
Northridge, CA 91324-2744

Phone

(888) 929-2891

Fax

(818) 483-9859

NPI assigned

Jul 11, 2025

Last updated

Jul 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Davit Ksachikyan

Title

Ceo

Phone

(888) 929-2891

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Moussai, MD

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1952494023
  NPD (past)

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1245121805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 TAMPA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242744",
            "telephone_number": "888-929-2891",
            "fax_number": "818-483-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 TAMPA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242744",
            "telephone_number": "888-929-2891",
            "fax_number": "818-483-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE LIFE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "KSACHIKYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-929-2891"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Adler
• Katherine Annette Adler, MD
• Peter John Adler, ED.D.
• Adonai Congregate Living, Inc.
• Mary Shellah Elizabeth Adoremos, PT
• Advance Pain Management Group
• Advanced Caregivers Inc (Advanced Home Care Services)
• Advanced Detox and Rehab Center
• Advanced Hand & Reconstructive Plastic Surgery Inc.
• Advanced Medtrans Inc.

• Substance Abuse Rehabilitation Facility in Northridge, CA
• Providers in Northridge, 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 Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.