Anchored Tides Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ANCHORED TIDES RECOVERY

Practice address

19126 Magnolia St
Ste 101
Huntington Beach, CA 92646-2235

Phone

(714) 377-7706

Fax

(949) 791-2137

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Alejandro Alva, MD

Title

Medical Director

Phone

(714) 377-7706

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Kelsey Huberty, MA, LAADC

  • Addiction (Substance Use Disorder) Counselor
  • Huntington Beach, CA
  • NPI 1104311588
  NPD (past)
• Nancy Maneval

  • Addiction (Substance Use Disorder) Counselor
  • Huntington Beach, CA
  • NPI 1619770419
  NPD (past)

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1750829016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19126 MAGNOLIA ST",
            "address_2": "STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19126 MAGNOLIA ST",
            "address_2": "STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462235",
            "telephone_number": "714-377-7706",
            "fax_number": "949-791-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORED TIDES RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "ALVA",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-377-7706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Medical Supply Co
• Amber Anaim
• Lalitha Ananth, MD
• Paige Anaya, MA, EDS, PPS
• Afarin Anbarani, DDS
• Nancy Ancona
• Dorith Jacob Anda
• Marissa Lee Andaloro, L.AC.
• Wallis E Andelin, D.D.S., MS
• Alison Andersen-Love

• Substance Abuse Rehabilitation Facility in Huntington Beach, CA
• Providers in Huntington Beach, 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 Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.