NPIMap

Organization Active NPI

Mexican American Addiction Program

  • Substance Abuse Rehabilitation Facility
  • Sacramento, CA
National Provider Identifier
1679919617
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
340004BN Issued in CA
Legal business name
MEXICAN AMERICAN ADDICTION PROGRAM
Practice address
2515 48TH Ave
Sacramento, CA 95822-3810
Phone
(916) 394-2328
Fax
(916) 339-1340
NPI assigned
May 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Ms. Paul Cruz
Title
Executive Director
Phone
(916) 394-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 340004BN CA Primary

Addresses

Primary practice location

2515 48TH Ave
Sacramento, CA 95822-3810

Mailing address

4241 Florin Rd Ste 65
Sacramento, CA 95823-2535
Phone (916) 394-2323

Other names 1

  • Mi Casa Recovery Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maap Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1679919617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 FLORIN RD STE 65",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232535",
            "telephone_number": "916-394-2323",
            "fax_number": "916-394-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 48TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958223810",
            "telephone_number": "916-394-2328",
            "fax_number": "916-339-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXICAN AMERICAN ADDICTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-394-2323",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "340004BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Casa Recovery Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.