NPIMap

Organization Active NPI

Sobertec LLC

  • Substance Abuse Rehabilitation Facility
  • San Clemente, CA
National Provider Identifier
1447767330
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300254EP Issued in CA
Legal business name
SOBERTEC LLC
Practice address
402 Pasadena CT
San Clemente, CA 92672-5477
Phone
(949) 498-4321
NPI assigned
Jan 2, 2018
Last updated
Jan 2, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SOBERTEC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Scott Wilson
Title
Ceo
Phone
(562) 310-0443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300254EP CA Primary

Addresses

Primary practice location

402 Pasadena CT
San Clemente, CA 92672-5477

Mailing address

PO Box 511544
Los Angeles, CA 90051-8099

National Provider Directory

National Provider Directory
Tax ID family
Sobertec LLC7 organizations share this tax ID, including this one
Part of
Sobertec LLC

Other organizations with this tax ID 6

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": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1447767330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511544",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900518099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 PASADENA CT",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725477",
            "telephone_number": "949-498-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBERTEC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOBERTEC LLC",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-310-0443"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300254EP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.