NPIMap

Organization Active NPI

Akua Behavioral Health, Inc

Doing business as AKUA Treatment Services

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1255847810
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AKUA BEHAVIORAL HEALTH, INC
Doing business as
AKUA Treatment Services
Practice address
2754 Imperial Ave
San Diego, CA 92102-4031
Phone
(949) 833-8100
NPI assigned
Dec 19, 2017
Last updated
Dec 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Stephen Mercurio
Title
Coo
Phone
(949) 777-2283

Specialties & licenses 1

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

Addresses

Primary practice location

2754 Imperial Ave
San Diego, CA 92102-4031

Mailing address

20271 SW Birch St Ste 200
Newport Beach, CA 92660-1752
Phone (949) 833-8101

Other names 1

  • AKUA Treatment Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Akua Behavioral Health Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1255847810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20271 SW BIRCH ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601752",
            "telephone_number": "949-833-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 IMPERIAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024031",
            "telephone_number": "949-833-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKUA BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "MERCURIO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-777-2283"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AKUA Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.