Organization Active NPI

Bellagio Serenity Recovery Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1649195702
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BELLAGIO SERENITY RECOVERY INC.
Practice address
14122 Albers St
Sherman Oaks, CA 91401-4905
Phone
(323) 459-9708
Fax
(206) 647-8776
NPI assigned
Aug 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Mr. Dmitry James Naygas
Title
Ceo
Phone
(323) 459-9708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

14122 Albers St
Sherman Oaks, CA 91401-4905

Mailing address

14122 Albers St
Sherman Oaks, CA 91401-4905
Phone (323) 459-9708

Other names 1

  • como serenity recovery inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Bellagio Serenity Recovery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1649195702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14122 ALBERS ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914014905",
            "telephone_number": "323-459-9708",
            "fax_number": "206-647-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14122 ALBERS ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914014905",
            "telephone_number": "323-459-9708",
            "fax_number": "206-647-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAGIO SERENITY RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "NAYGAS",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-459-9708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "como serenity recovery inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.