NPIMap

Organization Active NPI

Luminance Health Group, Inc.

  • Substance Abuse Rehabilitation Facility
  • Ladera Ranch, CA
National Provider Identifier
1386178176
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LUMINANCE HEALTH GROUP, INC.
Practice address
21 Lennox CT
Ladera Ranch, CA 92694-1447
Phone
(949) 482-8315
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Authorized official

Name
Michael Castanon
Title
Ceo
Phone
(310) 303-8325

Specialties & licenses 1

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

Addresses

Primary practice location

21 Lennox CT
Ladera Ranch, CA 92694-1447

Mailing address

PO Box 268866
Oklahoma City, OK 73126-8866

National Provider Directory

National Provider Directory
Tax ID family
Luminance Health Group Inc7 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.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1386178176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268866",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LENNOX CT",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941447",
            "telephone_number": "949-482-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINANCE HEALTH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "CASTANON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-303-8325"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.