Surf City Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300267BP Issued in CA

Legal business name

SURF CITY RECOVERY

Practice address

6002 Doyle Dr
Huntington Beach, CA 92647-4219

Phone

(949) 209-7765

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Richard R Seidel

Title

Ceo

Phone

(714) 841-3863

Specialties & licenses 1

Addresses

Other names 1

• Surf City Recovery Former legal business name

Tax ID family

Surf City Recovery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Surf City Recovery

  • Community/Behavioral Health Agency
  • Huntington Beach, CA
  • NPI 1104286731
  NPD tax ID
• Surf City Recovery

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
  • NPI 1255767125
  NPD tax ID

Locations

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1578013603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18090 BEACH BLVD STE 6",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481327",
            "telephone_number": "949-209-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 DOYLE DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474219",
            "telephone_number": "949-209-7765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18090 Beach Blvd",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926481327",
            "country_code": "US",
            "telephone_number": "714-841-2430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURF CITY RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "SEIDEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-841-3863"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300267BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surf City Recovery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Millie Jay Surati-Tantod, M.D.
• Surf City Peds (pauline pepek, m.d)
• Surf City Podiatry
• Surf City Recovery
• Surf City Recovery
• Nigal Surfian, ARDMS
• Surgical Medical Group Inc
• Surgical Nursing Services Inc.
• Surgical Outpatient Solutions, Inc. (HealthCheck Corporation)
• Weiss Surkhabi, MD

• Substance Abuse Rehabilitation Facility in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.