Organization Active NPI

Saint Angel Recovery Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Tarzana, CA
National Provider Identifier
1629762372
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SAINT ANGEL RECOVERY CENTER, INC.
Practice address
19567 Oxnard St
Tarzana, CA 91356-1027
Phone
(747) 273-2905
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Levon Martirosyan
Title
Ceo
Phone
(747) 322-0055

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

19567 Oxnard St
Tarzana, CA 91356-1027

Mailing address

19567 Oxnard St
Tarzana, CA 91356-1027
Phone (747) 273-2905

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2296525Saint Angel Recovery Center, Inc.19567 Oxnard St., Tarzana, CA 91356Certificate of waiverDec 28, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1629762372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19567 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561027",
            "telephone_number": "747-273-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19567 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561027",
            "telephone_number": "747-273-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANGEL RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "MARTIROSYAN",
        "authorized_official_first_name": "LEVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-322-0055"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.