Active NPI
Nucion Avent, CADC II
- Addiction (Substance Use Disorder) Counselor
- Lancaster, CA
National Provider Identifier
1487779187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RA848704
- Practice address
- 10 Street West and Lancaster Blvd
Lancaster, CA 93534 - Phone
- (661) 726-2630
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RA848704 | CA | Primary |
Addresses
Primary practice location
10 Street West and Lancaster Blvd
Lancaster, CA 93534
Mailing address
20TH Street East and Avenue K
Lancaster, CA 93535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RA848704 | Other | CA | CADC II |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RA848704 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487779187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20TH STREET EAST AND AVENUE K",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 STREET WEST AND LANCASTER BLVD",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93534",
"telephone_number": "661-726-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVENT",
"first_name": "NUCION",
"credential": "CADC II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RA848704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CADC II",
"identifier": "RA848704",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.