Organization Active NPI

Melrose Group LTD.

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1669096624
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MELROSE GROUP LTD.
Practice address
1253 N Commonwealth Ave
Los Angeles, CA 90029-2003
Phone
(714) 970-0036
NPI assigned
Jun 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Walt Ybarra
Title
Owner
Phone
(714) 970-0036

Specialties & licenses 1

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

Addresses

Primary practice location

1253 N Commonwealth Ave
Los Angeles, CA 90029-2003

Mailing address

1247 N Lakeview Ave Ste B
Anaheim, CA 92807-1833
Phone (714) 970-0036

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1669096624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 N LAKEVIEW AVE STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071833",
            "telephone_number": "714-970-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 N COMMONWEALTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292003",
            "telephone_number": "714-970-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE GROUP LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "YBARRA",
        "authorized_official_first_name": "WALT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-970-0036"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.