Active NPI
Scott-Sommer Sobriety Systems
- Substance Use Disorder Rehabilitation Clinic/Center
- Costa Mesa, CA
National Provider Identifier
1528632882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.