Active NPI
Octlc, Inc.
- Children's Substance Abuse Rehabilitation Facility
- Brea, CA
National Provider Identifier
1265396311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- Legal business name
- OCTLC, INC.
- Practice address
- 356 Vesuvius Dr
Brea, CA 92823-6343 - Phone
- (818) 636-2938
- Fax
- (833) 930-2303
- NPI assigned
- Dec 12, 2025
- Last updated
- Dec 12, 2025
- Organization subpart
- Yes
- Parent organization
- OCTLC, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sayeh Seyedfathi
- Title
- Ceo
- Phone
- (818) 636-2938
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | Primary |
Addresses
Primary practice location
356 Vesuvius Dr
Brea, CA 92823-6343
Mailing address
3943 Irvine Blvd # 5
Irvine, CA 92602-2400
Phone (818) 636-2938
National Provider Directory
National Provider Directory- Tax ID family
- Octlc Inc
- Part of
- Octlc Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba sustain recovery
- Children's Substance Abuse Rehabilitation Facility
- Anaheim, CA
- NPI 1003280348
-
dba Sustain Recovery
- Children's Substance Abuse Rehabilitation Facility
- Anaheim, CA
- NPI 1710371950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765497600000",
"number": "1265396311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3943 IRVINE BLVD # 5",
"city": "IRVINE",
"state": "CA",
"postal_code": "926022400",
"telephone_number": "818-636-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 VESUVIUS DR",
"city": "BREA",
"state": "CA",
"postal_code": "928236343",
"telephone_number": "818-636-2938",
"fax_number": "833-930-2303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCTLC, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OCTLC, INC.",
"enumeration_date": "2025-12-12",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A",
"authorized_official_last_name": "SEYEDFATHI",
"authorized_official_first_name": "SAYEH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-636-2938"
},
"taxonomies": [
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.