NPIMap

Organization Active NPI

Destinations to Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1801348305
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190842BP Issued in CA
Legal business name
DESTINATIONS TO RECOVERY, LLC
Practice address
6222 Wilshire Blvd
Suite 313
Los Angeles, CA 90048-5123
Phone
(818) 737-2221
Fax
(818) 737-2222
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Daniel Alon Samson
Title
Founder/President
Phone
(818) 737-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190842BP CA Primary

Addresses

Primary practice location

6222 Wilshire Blvd
Suite 313
Los Angeles, CA 90048-5123

Mailing address

21051 Warner Center LN
Suite 220
Woodland Hills, CA 91367-6551
Phone (818) 737-2221

National Provider Directory

National Provider Directory
Tax ID family
Destinations to Recovery LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

6222 Wilshire Blvd
Ste 313
Los Angeles, CA 90048
Phone (818) 737-2221

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1801348305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21051 WARNER CENTER LN",
            "address_2": "SUITE 220",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676551",
            "telephone_number": "818-737-2221",
            "fax_number": "818-737-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 WILSHIRE BLVD",
            "address_2": "SUITE 313",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485123",
            "telephone_number": "818-737-2221",
            "fax_number": "818-737-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINATIONS TO RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ALON",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "818-737-2221"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190842BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.