Active NPI
Southern California Sunrise Recovery Center
- Substance Abuse Rehabilitation Facility
- Laguna Niguel, CA
National Provider Identifier
1376093237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2217574 | Southern California Sunrise Recovery Center, LLC | Certificate of waiver | Mar 21, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Southern Calfiornia Sunrise Recovery Center
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Residential Treatment Facility
- Mission Viejo, CA
- NPI 1396221610
-
- Substance Abuse Rehabilitation Facility
- Mission Viejo, CA
- NPI 1437635786
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mission Viejo, CA
- NPI 1548850555
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mission Viejo, CA
- NPI 1811563257
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mission Viejo, CA
- NPI 1891271144
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": []
}
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- South Coast Family Medical Center Inc
- South Coast Hearing Specialist (South Coast Hearing Specialists)
- South County Aquatic & Physical Therapy Center, Inc.
- Southern California Acupuncture Inc
- Barbara Speare, D.C.
- Marc Speare, D.C.
- Laura Immel Sprague, DDS
- Lucinda Louise Springer, PT
- Mae Lee Springer, DDS
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.