Active NPI
Fresh Start of California, LLC
- Substance Abuse Rehabilitation Facility
- Santa Ana, CA
National Provider Identifier
1376915231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 300349AP
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 05D2319323 | Fresh Start of California | Certificate of waiver | Feb 25, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.