Active NPI
Hillside Mission
- Substance Abuse Rehabilitation Facility
- Mission Viejo, CA
National Provider Identifier
1801328505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- HILLSIDE MISSION
- Practice address
- 23371 Rockrose
Mission Viejo, CA 92692-1686 - Phone
- (949) 518-3468
- NPI assigned
- Mar 31, 2017
- 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
- Ron Girskis
- Title
- Business Operation Specialist
- Phone
- (949) 359-8273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
23371 Rockrose
Mission Viejo, CA 92692-1686
Mailing address
PO Box 5259
San Clemente, CA 92674-5259
Phone (949) 625-0376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300014AP | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603065600000",
"number": "1801328505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5259",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926745259",
"telephone_number": "949-625-0376",
"fax_number": "949-390-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23371 ROCKROSE",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926921686",
"telephone_number": "949-518-3468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSIDE MISSION",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-31",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A",
"authorized_official_last_name": "GIRSKIS",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "BUSINESS OPERATION SPECIALIST",
"authorized_official_telephone_number": "949-359-8273"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300014AP",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.