Organization Active NPI

Fentanylsolution.Org

  • Community Health Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1790527901
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
FENTANYLSOLUTION.ORG
Practice address
1133 Camelback St Unit 11491
Newport Beach, CA 92658-1416
Phone
(888) 931-6244
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Annastasiastasia Rose Beal
Title
Community Outreach Coordinator
Phone
(949) 659-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

1133 Camelback St Unit 11491
Newport Beach, CA 92658-1416

Mailing address

1133 Camelback St Unit 11491
Newport Beach, CA 92658-1416
Phone (888) 931-6244

National Provider Directory

National Provider Directory

Locations

1133 Camelback St
Unit 11491
Newport Beach, CA 92658
Phone (888) 931-6244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1790527901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 CAMELBACK ST UNIT 11491",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926581416",
            "telephone_number": "888-931-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 CAMELBACK ST UNIT 11491",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926581416",
            "telephone_number": "888-931-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTANYLSOLUTION.ORG",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "ANNASTASIASTASIA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "COMMUNITY OUTREACH COORDINATOR",
        "authorized_official_telephone_number": "949-659-8180"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.