Stone Ridge Recovery Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

300041AP Issued in CA

Legal business name

STONE RIDGE RECOVERY INC

Practice address

24951 Sandridge Cir
Laguna Hills, CA 92653-5893

Phone

(714) 719-2602

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Adrian GonzalezNPI 1164945341

Title

Ceo / Chief Executive Officer

Phone

(714) 719-2602

Specialties & licenses 1

Addresses

Practitioners 1

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

• Adrian Gonzalez

  • Addiction (Substance Use Disorder) Counselor
  • Laguna Hills, CA
  • NPI 1164945341
  NPD (past) Authorized official

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1740771070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24951 SANDRIDGE CIR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535893",
            "telephone_number": "714-719-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24951 SANDRIDGE CIR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535893",
            "telephone_number": "714-719-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE RIDGE RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "CEO / CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-719-2602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "300041AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Stern, M.D.
• Daniel Ross Sternfeld, MD
• Steve J Costales Chiropractic Inc
• Cierra Cherie Stivers, CADC I
• Macy N Stockwell
• Robin Rachel Stoner, BS
• Cheryl Lynn Strach, O.D.
• Kayla Ashley Strain
• Debra Strange, OTR
• Natalie Sophia Strickler

• Substance Use Disorder Rehabilitation Clinic/Center in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

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