NPIMap

Organization Active NPI

Pace Recovery Center, LLC

Doing business as PCAE Recovery Center

  • 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
Doing business as
PCAE Recovery Center
Practice address
20061 SW Birch St
Newport Beach, CA 92660-1719
Phone
(213) 924-6442
NPI assigned
May 2, 2023
Last updated
May 3, 2023By the provider in NPPES
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 SuzmeyanNPI 1619558962
Title
Strategy Officer
Phone
(213) 924-6442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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.

Locations

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

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": "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.