NPIMap

Organization Active NPI

Pace Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
National Provider Identifier
1376923136
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300244DP Issued in CA
Legal business name
PACE RECOVERY CENTER, LLC
Practice address
414 11TH St
Huntington Beach, CA 92648-4508
Phone
(949) 640-0018
Fax
(714) 274-9517
NPI assigned
Jun 5, 2015
Last updated
Nov 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Shahan SuzmeyanNPI 1619558962
Title
Cco
Phone
(213) 924-6442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300244DP CA Primary

Addresses

Primary practice location

414 11TH St
Huntington Beach, CA 92648-4508

Mailing address

20051 SW Birch St
Newport Beach, CA 92660-1708
Phone (520) 390-5017

National Provider Directory

National Provider Directory
Tax ID family
Pace Recovery Center LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1376923136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20051 SW BIRCH ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601708",
            "telephone_number": "520-390-5017",
            "fax_number": "949-490-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 11TH ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484508",
            "telephone_number": "949-640-0018",
            "fax_number": "714-274-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "SUZMEYAN",
        "authorized_official_first_name": "SHAHAN",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "213-924-6442"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300244DP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.