NPIMap

Organization Active NPI

Pace Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Newport Beach, CA
National Provider Identifier
1558050997
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PACE RECOVERY CENTER, LLC
Practice address
20061 SW Birch St
Newport Beach, CA 92660-1719
Phone
(213) 924-6442
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Shahan Suzmeyan
Title
Strategy Officer
Phone
(213) 924-6442

Specialties & licenses 1

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

Addresses

Primary practice location

20061 SW Birch St
Newport Beach, CA 92660-1719

Mailing address

20051 SW Birch St
Newport Beach, CA 92660-1719
Phone (213) 924-6442

Other names 1

  • PCAE Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pace Recovery Center LLC7 organizations share this tax ID, including this one

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": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1558050997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20051 SW BIRCH ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601719",
            "telephone_number": "213-924-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20061 SW BIRCH ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601719",
            "telephone_number": "213-924-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "SUZMEYAN",
        "authorized_official_first_name": "SHAHAN",
        "authorized_official_title_or_position": "STRATEGY OFFICER",
        "authorized_official_telephone_number": "213-924-6442"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCAE Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.