Organization Active NPI

Southern California Sunrise Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Laguna Niguel, CA
National Provider Identifier
1376093237
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER
Practice address
30471 Via Alcazar Ave
Laguna Niguel, CA 92677-2137
Phone
(949) 388-3857
Fax
(949) 388-3857
NPI assigned
Oct 4, 2016
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Mrs. Usha Villareal, RN
Title
Ceo
Phone
(949) 533-4025

Specialties & licenses 1

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

Addresses

Primary practice location

30471 Via Alcazar Ave
Laguna Niguel, CA 92677-2137

Mailing address

28562 Oso Pkwy # D-313
Rancho Santa Margarita, CA 92688-5595
Phone (949) 533-3046

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2217574Southern California Sunrise Recovery Center, LLC30471 Via Alcazar Ave, Laguna Niguel, CA 92677Certificate of waiverMar 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Southern Calfiornia Sunrise Recovery Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1376093237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28562 OSO PKWY # D-313",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885595",
            "telephone_number": "949-533-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30471 VIA ALCAZAR AVE",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772137",
            "telephone_number": "949-388-3857",
            "fax_number": "949-388-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "VILLAREAL",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-533-4025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.