Active NPI
Bellagio Serenity Recovery Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Lancaster, CA
National Provider Identifier
1770426652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Sherman Oaks, CA
- NPI 1649195702
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.