Active NPI
Brickfire LLC
Doing business as The Forge Recovery Center
- Community/Behavioral Health Agency
- Santa Ana, CA
National Provider Identifier
1245814292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BRICKFIRE LLC
- Doing business as
- The Forge Recovery Center
- Practice address
- 1560 Brookhollow Dr Ste 106
Santa Ana, CA 92705-5428 - Phone
- (949) 750-2720
- Fax
- (714) 699-9492
- NPI assigned
- May 6, 2021
- Last updated
- Mar 6, 2024
- 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
- Aaron Bailey
- Title
- General Counsel
- Phone
- (714) 352-9138
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1560 Brookhollow Dr Ste 106
Santa Ana, CA 92705-5428
Mailing address
20500 Belshaw Ave. DPT Xla 1126
Carson, CA 90746-3506
Phone (949) 750-2720
Other practice location 1
1560 Brookhollow Dr Ste 104
Santa Ana, CA 92705-5428
Phone (949) 750-2720
Other names 1
- The Forge Recovery Center
National Provider Directory
National Provider DirectoryLocations
20500 Belshaw Ave
#1126
Carson, CA 90746
2321 E 4th St
#C461
Santa Ana, CA 92705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1245814292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20500 BELSHAW AVE. DPT XLA 1126",
"city": "CARSON",
"state": "CA",
"postal_code": "907463506",
"telephone_number": "949-750-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 BROOKHOLLOW DR STE 106",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055428",
"telephone_number": "949-750-2720",
"fax_number": "714-699-9492"
}
],
"practiceLocations": [
{
"address_1": "1560 Brookhollow Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927055428",
"country_code": "US",
"telephone_number": "949-750-2720",
"fax_number": "714-699-9492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRICKFIRE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "714-352-9138"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Forge Recovery Center",
"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 Mar 6, 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.