NPIMap

Organization Active NPI

Surf City Solutions LLC

Doing business as Creo Spero

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1508408725
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SURF CITY SOLUTIONS LLC
Doing business as
Creo Spero
Practice address
2414 S Fairview St Ste 215
Santa Ana, CA 92704-5318
Phone
(657) 342-0265
Fax
(714) 398-8822
NPI assigned
Oct 9, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SURF CITY SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Michael Richard PriesingNPI 1558623363
Title
Owner
Phone
(657) 342-0265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

2414 S Fairview St Ste 215
Santa Ana, CA 92704-5318

Mailing address

2414 S Fairview St Ste 215
Santa Ana, CA 92704-5318
Phone (657) 342-0265

Other identifiers 1

IdentifierTypeStateIssuer
300035APOtherCADHCS

Other names 1

  • Creo Spero Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Surf City Solutions LLC3 organizations share this tax ID, including this one
Part of
Surf City Solutions LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1508408725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 S FAIRVIEW ST STE 215",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045318",
            "telephone_number": "657-342-0265",
            "fax_number": "714-398-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 S FAIRVIEW ST STE 215",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045318",
            "telephone_number": "657-342-0265",
            "fax_number": "714-398-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURF CITY SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURF CITY SOLUTIONS LLC",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "PRIESING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "657-342-0265"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "300035AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creo Spero",
            "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 Oct 9, 2019; 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.