Active NPI
New Route Recovery LLC
- Rehabilitation Clinic/Center
- Los Angeles, CA
National Provider Identifier
1619661576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- NEW ROUTE RECOVERY LLC
- Practice address
- 3215 Bonnie Hill Dr
Los Angeles, CA 90068-1322 - Phone
- (424) 478-1336
- Fax
- (213) 995-8716
- NPI assigned
- Jun 5, 2023
- 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
- Joseph Desiderio
- Title
- MGR
- Phone
- (424) 478-1336
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary | ||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Preferred Provider Organization | 305R00000X |
Addresses
Primary practice location
3215 Bonnie Hill Dr
Los Angeles, CA 90068-1322
Mailing address
1968 S Coast Hwy Ste 2839
Laguna Beach, CA 92651-3681
Phone (424) 478-1336
Other practice location 1
1857 W Slauson Ave
Los Angeles, CA 90047-1128
Phone (424) 478-1336
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686873600000",
"number": "1619661576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1968 S COAST HWY STE 2839",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926513681",
"telephone_number": "424-478-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 BONNIE HILL DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681322",
"telephone_number": "424-478-1336",
"fax_number": "213-995-8716"
}
],
"practiceLocations": [
{
"address_1": "1857 W Slauson Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900471128",
"country_code": "US",
"telephone_number": "424-478-1336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW ROUTE RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A",
"authorized_official_last_name": "DESIDERIO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "424-478-1336"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.