Organization Active NPI

Bellagio Serenity Recovery Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lancaster, CA
National Provider Identifier
1770426652
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BELLAGIO SERENITY RECOVERY INC.
Practice address
2639 W Avenue K4
Lancaster, CA 93536-5369
Phone
(661) 579-9805
NPI assigned
Apr 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Dmitry Naygas
Title
Ceo
Phone
(323) 459-9708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2639 W Avenue K4
Lancaster, CA 93536-5369

Mailing address

17349 Saticoy St
Northridge, CA 91325-4527
Phone (323) 459-9708

National Provider Directory

National Provider Directory
Tax ID family
Bellagio Serenity Recovery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1770426652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17349 SATICOY ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254527",
            "telephone_number": "323-459-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 W AVENUE K4",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365369",
            "telephone_number": "661-579-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAGIO SERENITY RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "NAYGAS",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-459-9708"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.