Organization Active NPI

New Route Recovery LLC

  • Rehabilitation Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1619661576
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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

Updated by the provider on Jun 16, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.