Peppertree Management, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300639AP Issued in CA

Legal business name

PEPPERTREE MANAGEMENT, LLC

Practice address

25352 Hillary LN
Laguna Hills, CA 92653-5217

Phone

(714) 404-1273

NPI assigned

Jun 23, 2016

Last updated

Apr 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie GibsonNPI 1679945448

Title

Managing Memeber

Phone

(949) 412-1900

Specialties & licenses 1

Addresses

Other names 1

• Mission Treatment & Recovery Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Gibson

  • Substance Abuse Rehabilitation Facility
  • Laguna Hills, CA
  • NPI 1679945448
  NPD (past) Authorized official

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1750732483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO # C-474",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736957",
            "telephone_number": "949-412-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25352 HILLARY LN",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535217",
            "telephone_number": "714-404-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERTREE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGING MEMEBER",
        "authorized_official_telephone_number": "949-412-1900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300639AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Treatment & Recovery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hallie Lynn Pellegrini
• Christopher John Pellegrino Jr., MD
• Pelvicsanity, Inc.
• Jewel Ann Pendleton, SLP CCC
• John K. Peppard, PHD IN PSYCHOLOGY
• Quinn Frankie Peralta, LCSW, PPSC
• Gretchen Perea, R.D.
• Alexandra Pereira
• David Gilbert Perez
• Performance Health Medical Group

• Substance Abuse Rehabilitation Facility in Laguna Hills, CA
• Providers in Laguna Hills, 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 Apr 13, 2017; 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.