Organization Active NPI

Evolutions Detox

  • Substance Abuse Rehabilitation Facility
  • Northridge, CA
National Provider Identifier
1386444560
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EVOLUTIONS DETOX
Practice address
8418 Wilbur Ave
Northridge, CA 91324-4433
Phone
(747) 202-0028
Fax
(818) 279-2869
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Jonathan Chang
Title
Program Director
Phone
(818) 220-0234

Specialties & licenses 1

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

Addresses

Primary practice location

8418 Wilbur Ave
Northridge, CA 91324-4433

Mailing address

8418 Wilbur Ave
Northridge, CA 91324-4433
Phone (818) 220-0234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1386444560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 WILBUR AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244433",
            "telephone_number": "818-220-0234",
            "fax_number": "818-279-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8418 WILBUR AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244433",
            "telephone_number": "747-202-0028",
            "fax_number": "818-279-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTIONS DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "818-220-0234"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.