NPIMap

Organization Active NPI

Resurgence California, LLC

  • Substance Abuse Rehabilitation Facility
  • Newport Beach, CA
National Provider Identifier
1295487833
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RESURGENCE CALIFORNIA, LLC
Practice address
1132 W Balboa Blvd
Newport Beach, CA 92661-1091
Phone
(702) 305-9167
NPI assigned
Jan 25, 2022
Last updated
Nov 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Camille Linares
Title
VP of Compliance
Phone
(888) 700-5053

Specialties & licenses 1

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

Addresses

Primary practice location

1132 W Balboa Blvd
Newport Beach, CA 92661-1091

Mailing address

3151 Airway Ave Ste E1
Costa Mesa, CA 92626-4620
Phone (828) 773-4477

National Provider Directory

National Provider Directory
Tax ID family
Resurgence California LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1295487833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE E1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264620",
            "telephone_number": "828-773-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 W BALBOA BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926611091",
            "telephone_number": "702-305-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCE CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "LINARES",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "VP OF COMPLIANCE",
        "authorized_official_telephone_number": "888-700-5053"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.