NPIMap

Organization Active NPI

Southern California Addiction Center

  • Substance Abuse Rehabilitation Facility
  • Temecula, CA
National Provider Identifier
1346614666
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOUTHERN CALIFORNIA ADDICTION CENTER
Practice address
36500 De Portola Rd
Temecula, CA 92592-7801
Phone
(951) 302-2481
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Authorized official

Name
Mr. Aaron Brower
Title
President
Phone
(714) 619-5081

Specialties & licenses 1

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

Addresses

Primary practice location

36500 De Portola Rd
Temecula, CA 92592-7801

Mailing address

2755 Bristol Street
Suite 140
Costa Mesa, CA 92626
Phone (714) 619-5081

National Provider Directory

National Provider Directory
Tax ID family
Southern California Addiction Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2755 Bristol St
Ste 140
Costa Mesa, CA 92626
Phone (714) 619-5081

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1346614666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 BRISTOL STREET",
            "address_2": "SUITE 140",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "714-619-5081",
            "fax_number": "206-426-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36500 DE PORTOLA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925927801",
            "telephone_number": "951-302-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA ADDICTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-619-5081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.