1000 Newbury Road LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

1000 NEWBURY ROAD LLC

Practice address

1000 Newbury Rd Ste 205
Newbury Park, CA 91320-6441

Phone

(562) 207-8820

NPI assigned

May 5, 2023

Organization subpart

No

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

Authorized official

Name

Hajar Moussaoui

Title

Manager

Phone

(562) 207-8820

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1598454431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 205",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 205",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206441",
            "telephone_number": "562-207-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1000 NEWBURY ROAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "MOUSSAOUI",
        "authorized_official_first_name": "HAJAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-207-8820"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.