Organization Active NPI

Octlc, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Brea, CA
National Provider Identifier
1265396311
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
OCTLC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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)CodeLicenseStatePrimary
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 Inc3 organizations share this tax ID, including this one
Part of
Octlc Inc

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.