Organization Active NPI

Oc Teen Addiction LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Orange, CA
National Provider Identifier
1275210239
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
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

Updated by the provider on Mar 18, 2026

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)CodeLicenseStatePrimary
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 Addiction2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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

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.

Verify at the official NPI Registry.