Active NPI
Oc Teen Addiction LLC
- Adolescent and Children Mental Health Clinic/Center
- Orange, CA
National Provider Identifier
1275210239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- OC TEEN ADDICTION LLC
- Practice address
- 1940 W Orangewood Ave Ste 206
Orange, CA 92868-5037 - Phone
- (714) 474-8655
- Fax
- (949) 203-2151
- NPI assigned
- Jun 30, 2023
- 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
- Rueben Grajeda, BSM
- Title
- Founder
- Phone
- (714) 474-8655
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
1940 W Orangewood Ave Ste 206
Orange, CA 92868-5037
Mailing address
1101 W Stevens Ave Apt 5
Santa Ana, CA 92707-5040
Phone (714) 474-8655
National Provider Directory
National Provider Directory- Tax ID family
- Oc Addiction
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Orange, CA
- NPI 1780442251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1275210239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W STEVENS AVE APT 5",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927075040",
"telephone_number": "714-474-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 W ORANGEWOOD AVE STE 206",
"city": "ORANGE",
"state": "CA",
"postal_code": "928685037",
"telephone_number": "714-474-8655",
"fax_number": "949-203-2151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OC TEEN ADDICTION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-30",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "GRAJEDA",
"authorized_official_first_name": "RUEBEN",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "714-474-8655",
"authorized_official_credential": "BSM"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
- Oc Health Wellness Group Corporation
- Oc Healthy Heart LLC
- Oc Pain and Supportive Care Professional Nursing Corporation
- Oc Path Medical Group Orange Regional Pathology Associate
- Oc Progressive Recovery Inc
- Oc Teen Addiction LLC
- Oc Urgent Care
- Oc Urgentcare Medical Group Incorporated
- Carolina Ocampo Martinez, LCSW
- Alejandra Ocampo, AU.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.