NPIMap

Organization Active NPI

Southern California Alcohol & Drug Programs, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1689764565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
300054AN Issued in CA
Legal business name
SOUTHERN CALIFORNIA ALCOHOL & DRUG PROGRAMS, INC.
Practice address
2212 Placentia Ave
Costa Mesa, CA 92627-7500
Phone
(949) 646-2271
Fax
(949) 646-1211
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lynne Appel, M.S.
Title
Executive Director
Phone
(562) 923-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 300054AN CA Primary

Addresses

Primary practice location

2212 Placentia Ave
Costa Mesa, CA 92627-7500

Mailing address

11500 Paramount Blvd
Downey, CA 90241-4530
Phone (562) 923-4545

Other names 1

  • Heritage House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heritage House North11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689764565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414530",
            "telephone_number": "562-923-4545",
            "fax_number": "562-862-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 PLACENTIA AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277500",
            "telephone_number": "949-646-2271",
            "fax_number": "949-646-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA ALCOHOL & DRUG PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "APPEL",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-923-4545",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "300054AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.