NPIMap

Organization Active NPI

Sober Partners Beach House

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
National Provider Identifier
1639567845
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300305AP Issued in CA
Legal business name
SOBER PARTNERS BEACH HOUSE
Practice address
233 Alabama St
Huntington Beach, CA 92648-5265
Phone
(949) 201-5192
Fax
(928) 708-9620
NPI assigned
Dec 23, 2014
Last updated
Oct 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Scott Raffa
Title
Coo
Phone
(949) 201-5192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300305AP CA Primary

Addresses

Primary practice location

233 Alabama St
Huntington Beach, CA 92648-5265

Mailing address

3419 Via Lido
Suite 241
Newport Beach, CA 92663-3908
Phone (949) 201-5192

National Provider Directory

National Provider Directory
Tax ID family
Partners Project Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1639567845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 VIA LIDO",
            "address_2": "SUITE 241",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633908",
            "telephone_number": "949-201-5192",
            "fax_number": "928-708-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ALABAMA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485265",
            "telephone_number": "949-201-5192",
            "fax_number": "928-708-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER PARTNERS BEACH HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "RAFFA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-201-5192"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300305AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.