NPIMap

Organization Active NPI

Surf City Recovery

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
National Provider Identifier
1255767125
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
999999
Legal business name
SURF CITY RECOVERY
Practice address
18090 Beach Blvd Ste 5
Huntington Beach, CA 92648-1327
Phone
(949) 209-7765
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Richard Seidel
Title
Executive Director
Phone
(949) 209-7765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 999999 Primary

Addresses

Primary practice location

18090 Beach Blvd Ste 5
Huntington Beach, CA 92648-1327

Mailing address

18090 Beach Blvd Ste 6
Huntington Beach, CA 92648-1327
Phone (949) 209-7655

National Provider Directory

National Provider Directory
Tax ID family
Surf City Recovery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

18090 Beach Blvd
Ste 5
Huntington Beach, CA 92648
Phone (714) 841-2430

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1255767125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18090 BEACH BLVD STE 6",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481327",
            "telephone_number": "949-209-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18090 BEACH BLVD STE 5",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481327",
            "telephone_number": "949-209-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURF CITY RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "SEIDEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-209-7765"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": "999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.