Organization Active NPI

Casa SRF Opco IV, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Camarillo, CA
National Provider Identifier
1306766647
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CASA SRF OPCO IV, LLC
Practice address
1750B S Lewis Rd
Camarillo, CA 93012-8520
Phone
(805) 850-8436
NPI assigned
Jul 17, 2026
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Chad Engbrecht, ENGBRECHT
Title
General Counsel
Phone
(858) 254-2510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1750B S Lewis Rd
Camarillo, CA 93012-8520

Mailing address

PO Box 12125
Portland, OR 97212-0125
Phone (858) 254-2510

National Provider Directory

National Provider Directory

Locations

1750 S Lewis Rd
#B
Camarillo, CA 93012
Phone (805) 437-2902

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1306766647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12125",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972120125",
            "telephone_number": "858-254-2510",
            "fax_number": "858-254-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750B S LEWIS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128520",
            "telephone_number": "805-850-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA SRF OPCO IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "ENGBRECHT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "858-254-2510",
        "authorized_official_credential": "ENGBRECHT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.