NPIMap

Organization Active NPI

Southern Calfiornia Sunrise Recovery Center

  • Psychiatric Residential Treatment Facility
  • Mission Viejo, CA
National Provider Identifier
1396221610
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
SOUTHERN CALFIORNIA SUNRISE RECOVERY CENTER
Practice address
25481 Gloriosa Dr
Mission Viejo, CA 92691-4641
Phone
(949) 533-3046
NPI assigned
Jul 19, 2018
Last updated
Mar 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Michael Villarreal
Title
Coo
Phone
(949) 533-3046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

25481 Gloriosa Dr
Mission Viejo, CA 92691-4641

Mailing address

28562 Oso Pkwy # D-313
Rancho Santa Margarita, CA 92688-5595
Phone (949) 533-3046

National Provider Directory

National Provider Directory
Tax ID family
Southern Calfiornia Sunrise Recovery Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1396221610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28562 OSO PKWY # D-313",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885595",
            "telephone_number": "949-533-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25481 GLORIOSA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914641",
            "telephone_number": "949-533-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALFIORNIA SUNRISE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-533-3046"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.