NPIMap

Organization Active NPI

Windward Way Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1336585744
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WINDWARD WAY RECOVERY
Practice address
3822 Campus Dr Ste 500
Newport Beach, CA 92660-2607
Phone
(949) 335-7603
Fax
(877) 820-8959
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Ian M Roy
Title
Billing Director
Phone
(657) 304-0103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

3822 Campus Dr Ste 500
Newport Beach, CA 92660-2607

Mailing address

3822 Campus Dr Ste 500
Newport Beach, CA 92660-2607
Phone (949) 335-7598

National Provider Directory

National Provider Directory
Tax ID family
Windward Way Recovery7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1336585744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 CAMPUS DR STE 500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602607",
            "telephone_number": "949-335-7598",
            "fax_number": "877-820-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 CAMPUS DR STE 500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602607",
            "telephone_number": "949-335-7603",
            "fax_number": "877-820-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD WAY RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "657-304-0103"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 7, 2020; 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.