Organization Active NPI

Rebel New Life Treatment Center, LLC.

  • Substance Abuse Rehabilitation Facility
  • Anaheim, CA
National Provider Identifier
1639719131
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REBEL NEW LIFE TREATMENT CENTER, LLC.
Practice address
527 S Archer St
Anaheim, CA 92804-2421
Phone
(714) 507-6867
Fax
(714) 463-4665
NPI assigned
Jan 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Tricia Perez
Title
Cfo
Phone
(714) 507-6867

Specialties & licenses 1

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

Addresses

Primary practice location

527 S Archer St
Anaheim, CA 92804-2421

Mailing address

2157 W Crone Ave
Anaheim, CA 92804-3552
Phone (714) 507-6867

Other practice location 1

2157 W Crone Ave
Anaheim, CA 92804-3552
Phone (714) 507-6867

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1639719131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 W CRONE AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043552",
            "telephone_number": "714-507-6867",
            "fax_number": "714-463-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 S ARCHER ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042421",
            "telephone_number": "714-507-6867",
            "fax_number": "714-463-4665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 W Crone Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043552",
            "country_code": "US",
            "telephone_number": "714-507-6867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REBEL NEW LIFE TREATMENT CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-507-6867"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.