Organization Active NPI

Fresh Start of California, LLC

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
National Provider Identifier
1376915231
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300349AP Issued in CA
Legal business name
FRESH START OF CALIFORNIA, LLC
Practice address
503 N Daisy Ave
Santa Ana, CA 92703-2854
Phone
(714) 558-2601
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Lindsey Centanni
Title
Program Director
Phone
(714) 558-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300349AP CA Primary

Addresses

Primary practice location

503 N Daisy Ave
Santa Ana, CA 92703-2854

Mailing address

503 N Daisy Ave
Santa Ana, CA 92703-2854
Phone (714) 558-2601

Other practice location 1

507 N Daisy Ave
Santa Ana, CA 92703-2854
Phone (714) 558-2600

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
05D2319323Fresh Start of California503 N Daisy Ave, Santa Ana, CA 92703Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1376915231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N DAISY AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032854",
            "telephone_number": "714-558-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N DAISY AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032854",
            "telephone_number": "714-558-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 N Daisy Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927032854",
            "country_code": "US",
            "telephone_number": "714-558-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRESH START OF CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "CENTANNI",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "714-558-2600"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300349AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.