Organization Active NPI

Affinity Group, LLC.

  • Substance Abuse Rehabilitation Facility
  • San Juan Capistrano, CA
National Provider Identifier
1639546583
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300330AP Issued in CA
Legal business name
AFFINITY GROUP, LLC.
Doing business as
Affinity Recovery
Practice address
31952 Paseo Terraza
San Juan Capistrano, CA 92675-3026
Phone
(714) 722-0112
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Evan Rabinowitz
Title
Ceo
Phone
(714) 722-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300330AP CA Primary

Addresses

Primary practice location

31952 Paseo Terraza
San Juan Capistrano, CA 92675-3026

Mailing address

18201 Von Karman Ave
Suite 330
Irvine, CA 92612-1000

Other names 1

  • Affinity Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affinity Group LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

18201 Von Karman Ave
Ste 330
Irvine, CA 92612

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1639546583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18201 VON KARMAN AVE",
            "address_2": "SUITE 330",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31952 PASEO TERRAZA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753026",
            "telephone_number": "714-722-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "RABINOWITZ",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-722-0112"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300330AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.