Rising Roads Recovery Services for Women, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300659BP Issued in CA

Legal business name

RISING ROADS RECOVERY SERVICES FOR WOMEN, LLC

Practice address

10605 El Este Ave
Fountain Valley, CA 92708-6009

Phone

(949) 922-1901

NPI assigned

Nov 15, 2017

Organization subpart

No

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

Authorized official

Name

Rebecca A Gatdula

Title

Founder / Ceo

Phone

(714) 673-9007

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Rising Roads Recovery Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Rising Roads 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.

• Rising Roads Recovery Services for Women, LLC

  • Substance Abuse Rehabilitation Facility
  • Fountain Valley, CA
  • NPI 1477000776
  NPD tax ID
• Rising Roads Recovery Services for Women, LLC

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1952811978
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Schneider, DO

  • Psychiatry Physician
  • Aliso Viejo, CA
  • NPI 1124244272
  NPD (past)

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1336652122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE I3",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264624",
            "telephone_number": "949-922-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 EL ESTE AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086009",
            "telephone_number": "949-922-1901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10905 El Domino Ave",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927083907",
            "country_code": "US",
            "telephone_number": "949-922-1901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3151 Airway Ave Ste I3",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264624",
            "country_code": "US",
            "telephone_number": "949-922-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISING ROADS RECOVERY SERVICES FOR WOMEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "GATDULA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "714-673-9007"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300659AP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300659BP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE OP SERVICES",
            "identifier": "300659DP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE REHAB",
            "identifier": "300659AP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE REHAB",
            "identifier": "300659BP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rising Roads Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian R Riding, MS, PA-C
• Kathleen Irene Rigol, RD
• Kathryn Rubio Rigonan, MD
• April Jullian Rios
• Viridiana Alonso Rios, MSW
• Rising Roads Recovery Services for Women, LLC
• Brenda Rivas
• Janice Rivelle
• Eliza Rivera-Mitu, PMHNP-BC, FNP-C
• Katrice G Rivera, MSN,RN,CV-BC,CHFN

• Substance Abuse Rehabilitation Facility in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.