NPIMap

Organization Active NPI

Akua Behavioral Health, Inc

Doing business as ATS health

  • Methadone Clinic
  • San Diego, CA
National Provider Identifier
1780153882
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
AKUA BEHAVIORAL HEALTH, INC
Doing business as
ATS health
Practice address
2754 Imperial Ave
San Diego, CA 92102-4031
Phone
(949) 350-7125
NPI assigned
Nov 19, 2018
Last updated
Nov 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Mr. Kenny Dewan
Title
Ceo
Phone
(949) 833-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

2754 Imperial Ave
San Diego, CA 92102-4031

Mailing address

20271 SW Birch St Ste 200
Newport Beach, CA 92660-1752
Phone (949) 833-8103

Other names 1

  • ATS health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Akua Behavioral Health Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

2754 Imperial Ave
San Diego, CA 92102
Phone (949) 350-7125

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1780153882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20271 SW BIRCH ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601752",
            "telephone_number": "949-833-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 IMPERIAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024031",
            "telephone_number": "949-350-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKUA BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "DEWAN",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-833-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATS health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.