NPIMap

Organization Active NPI

Full Circle Recovery

  • Substance Abuse Rehabilitation Facility
  • Norco, CA
National Provider Identifier
1306498431
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FULL CIRCLE RECOVERY
Practice address
765 Garden Grove Ave
Norco, CA 92860-2355
Phone
(951) 737-6199
Fax
(877) 963-6329
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Samantha Doty
Title
Coo
Phone
(951) 737-6199

Specialties & licenses 1

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

Addresses

Primary practice location

765 Garden Grove Ave
Norco, CA 92860-2355

Mailing address

1860 Lampton LN
Norco, CA 92860-3614
Phone (951) 737-6199

Other identifiers 1

IdentifierTypeStateIssuer
330141ANOtherCADHCS

National Provider Directory

National Provider Directory
Tax ID family
Full Circle Recovery3 organizations share this tax ID, including this one

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": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1306498431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 LAMPTON LN",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603614",
            "telephone_number": "951-737-6199",
            "fax_number": "877-963-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 GARDEN GROVE AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602355",
            "telephone_number": "951-737-6199",
            "fax_number": "877-963-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "951-737-6199"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "330141AN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.