Lakeside Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LAKESIDE RECOVERY

Practice address

30347 June Rose CT
Castaic, CA 91384-4738

Phone

(661) 383-9193

NPI assigned

Mar 3, 2025

Last updated

Apr 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Davit Gasparyan

Title

Ceo

Phone

(661) 383-9193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1427856905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30347 JUNE ROSE CT",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913844738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30347 JUNE ROSE CT",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913844738",
            "telephone_number": "661-383-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "GASPARYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-383-9193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kind Rhodes
• Rachel Koonse
• Dustin Avery Kua
• Ravinder Singh Kunwar, DDS
• La Votre RX Inc (Castaic Pharmacy)
• Lynn Marie Lee, PT
• Russell Raymond Lee, PT
• Paul Howard Levine, LCSW
• Martine Levy
• Rose M. Lo Verme, RN-C

• Substance Abuse Rehabilitation Facility in Castaic, CA
• Providers in Castaic, CA by specialty
• Substance Abuse Rehabilitation Facility in California

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