Organization Active NPI

Hillside Mission

  • Substance Abuse Rehabilitation Facility
  • Mission Viejo, CA
National Provider Identifier
1801328505
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Oct 19, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300014APMedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.