Organization Active NPI

Scott-Sommer Sobriety Systems

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Costa Mesa, CA
National Provider Identifier
1528632882
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SCOTT-SOMMER SOBRIETY SYSTEMS
Practice address
1370 Logan Ave Ste K
Costa Mesa, CA 92626-4024
Phone
(657) 493-3007
NPI assigned
May 19, 2021
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Ethan Sommer
Title
Program Director
Phone
(657) 493-3007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

1370 Logan Ave Ste K
Costa Mesa, CA 92626-4024

Mailing address

1370 Logan Ave Ste K
Costa Mesa, CA 92626-4024
Phone (657) 493-3007

National Provider Directory

National Provider Directory

Locations

1370 Logan Ave
Ste K
Costa Mesa, CA 92626
Phone (657) 493-3007

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1528632882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 LOGAN AVE STE K",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264024",
            "telephone_number": "657-493-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 LOGAN AVE STE K",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264024",
            "telephone_number": "657-493-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT-SOMMER SOBRIETY SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "SOMMER",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "657-493-3007"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.