Canyon Recovery Center Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CANYON RECOVERY CENTER INC

Practice address

17655 Scherzinger LN
Canyon Country, CA 91387-1649

Phone

(323) 646-6464

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Gevork Srapian, MHA

Title

Ceo

Phone

(323) 646-6464

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1710693361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17655 SCHERZINGER LN",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913871649",
            "telephone_number": "323-646-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17655 SCHERZINGER LN",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913871649",
            "telephone_number": "323-646-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RECOVERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "SRAPIAN",
        "authorized_official_first_name": "GEVORK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-646-6464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBD",
            "identifier": "TBD",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Bwogi
• Pearl Ambrosio Caligiuri, D.D.S.
• Christina Isabel Canton
• Canyon Country Adult Day Health Care
• Canyon Country Dialysis Center, LLC
• Castellari Smile
• Madison Blair Caviness
• Ccmts
• Marsha Storme Center, RDH, RDHAP
• Anthony Inchol Cha, D.D.S.,M.S.,M.S.

• Substance Abuse Rehabilitation Facility in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.