Organization Active NPI

Keystone LLC

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
National Provider Identifier
1720575475
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
KEYSTONE LLC
Practice address
4782 Curtis Cir
Huntington Beach, CA 92649-4313
Phone
(253) 653-2243
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Dylan Walker
Title
Ceo
Phone
(253) 653-2243

Specialties & licenses 1

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

Addresses

Primary practice location

4782 Curtis Cir
Huntington Beach, CA 92649-4313

Mailing address

4782 Curtis Cir
Huntington Beach, CA 92649-4313

Other names 1

  • Keystone LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1720575475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4782 CURTIS CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4782 CURTIS CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494313",
            "telephone_number": "253-653-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-653-2243"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.