NPIMap

Organization Active NPI

Pat Moore Detox, LLC

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1770921124
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PAT MOORE DETOX, LLC
Practice address
536 Hamilton St
Units a,B,C
Costa Mesa, CA 92627-2617
Phone
(714) 546-2200
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Arel Meister - Aldama
Title
Board Director
Phone
(714) 546-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CA Primary

Addresses

Primary practice location

536 Hamilton St
Units a,B,C
Costa Mesa, CA 92627-2617

Mailing address

536 Hamilton St
Units a,B,C
Costa Mesa, CA 92627-2617
Phone (714) 546-2200

National Provider Directory

National Provider Directory
Tax ID family
Pat Moore Detox LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1770921124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 HAMILTON ST",
            "address_2": "UNITS A,B,C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272617",
            "telephone_number": "714-546-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 HAMILTON ST",
            "address_2": "UNITS A,B,C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272617",
            "telephone_number": "714-546-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT MOORE DETOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "MEISTER - ALDAMA",
        "authorized_official_first_name": "AREL",
        "authorized_official_title_or_position": "BOARD DIRECTOR",
        "authorized_official_telephone_number": "714-546-2200"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.