NPIMap

Organization Active NPI

Miramar Health, Inc.

  • Psychiatric Residential Treatment Facility
  • Laguna Beach, CA
National Provider Identifier
1750876413
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
MIRAMAR HEALTH, INC.
Practice address
850 Glenneyre St
Laguna Beach, CA 92651-2733
Phone
(954) 214-9335
Fax
(866) 675-5593
NPI assigned
Jun 26, 2018
Last updated
Jun 26, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MIRAMAR HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Susan Singer-Delvalle
Title
Director Or Ur
Phone
(954) 214-9335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

850 Glenneyre St
Laguna Beach, CA 92651-2733

Mailing address

812 Emerald Bay
Laguna Beach, CA 92651-1273
Phone (954) 214-9335

National Provider Directory

National Provider Directory
Tax ID family
Miramar Health Inc9 organizations share this tax ID, including this one
Part of
Miramar Health Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

850 Glenneyre St
Laguna Beach, CA 92651
Phone (954) 214-9335

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1750876413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 EMERALD BAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511273",
            "telephone_number": "954-214-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 GLENNEYRE ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512733",
            "telephone_number": "954-214-9335",
            "fax_number": "866-675-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIRAMAR HEALTH, INC.",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "SINGER-DELVALLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR OR UR",
        "authorized_official_telephone_number": "954-214-9335"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

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