Active NPI
Sagebrush LLC
- Community/Behavioral Health Agency
- Santa Ana, CA
National Provider Identifier
1417425604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SAGEBRUSH LLC
- Practice address
- 550 N Golden Circle Dr Ste a
Santa Ana, CA 92705-3977 - Phone
- (800) 778-1772
- Fax
- (714) 699-4984
- NPI assigned
- Nov 6, 2018
- 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
- Aaron Bailey
- Title
- General Counsel
- Phone
- (949) 298-9228
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
550 N Golden Circle Dr Ste a
Santa Ana, CA 92705-3977
Mailing address
20500 Belshaw Avenue DPT 2034
Carson, CA 90746-3506
Phone (949) 298-9228
Other names 1
- The Edge Treatment Center
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 |
|---|---|---|---|
| 05D2193689 | Sagebrush LLC | Certificate of waiver | Sep 22, 2026 |
National Provider Directory
National Provider DirectoryLocations
20500 Belshaw Ave
#2034
Carson, CA 90746
1310 E Chapman Ave
#180
Fullerton, CA 92831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736899200000",
"number": "1417425604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20500 BELSHAW AVENUE DPT 2034",
"city": "CARSON",
"state": "CA",
"postal_code": "907463506",
"telephone_number": "949-298-9228",
"fax_number": "714-699-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N GOLDEN CIRCLE DR STE A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053977",
"telephone_number": "800-778-1772",
"fax_number": "714-699-4984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGEBRUSH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-06",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "949-298-9228"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Edge Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 15, 2025; 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.