NPIMap

Organization Active NPI

South Coast Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Fountain Valley, CA
National Provider Identifier
1679303143
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOUTH COAST BEHAVIORAL HEALTH
Practice address
11851 Wisteria Ave
Fountain Valley, CA 92708-2654
Phone
(949) 531-1821
NPI assigned
Aug 7, 2024
Organization subpart
Yes
Parent organization
SOUTH COAST BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Kylee Briney
Title
Executive Director
Phone
(949) 531-1821

Specialties & licenses 1

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

Addresses

Primary practice location

11851 Wisteria Ave
Fountain Valley, CA 92708-2654

Mailing address

2220 University Dr
Newport Beach, CA 92660-3319
Phone (949) 531-1821

National Provider Directory

National Provider Directory
Tax ID family
South Coast Behavioral Health11 organizations share this tax ID, including this one
Part of
South Coast Behavioral Health

Other organizations with this tax ID 10

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": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1679303143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 UNIVERSITY DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603319",
            "telephone_number": "949-531-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 WISTERIA AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082654",
            "telephone_number": "949-531-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH COAST BEHAVIORAL HEALTH",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "BRINEY",
        "authorized_official_first_name": "KYLEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-531-1821"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.