NPIMap

Organization Active NPI

Southern Calfiornia Sunrise Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Mission Viejo, CA
National Provider Identifier
1437635786
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOUTHERN CALFIORNIA SUNRISE RECOVERY CENTER
Practice address
24522 Vanessa Dr
Mission Viejo, CA 92691-4672
Phone
(949) 533-3046
NPI assigned
Jul 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

24522 Vanessa Dr
Mission Viejo, CA 92691-4672

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.

Locations

25108A Marguerite Pkwy
Mission Viejo, CA 92692

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1437635786",
    "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": "24522 VANESSA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914672",
            "telephone_number": "949-533-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALFIORNIA SUNRISE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation 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 Jan 7, 2021; 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.