NPIMap

Organization Active NPI

Shreya Health of California, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Clemente, CA
National Provider Identifier
1821499286
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
308877 Issued in CA
Legal business name
SHREYA HEALTH OF CALIFORNIA, INC.
Practice address
1201 Puerta del Sol Ste 224
San Clemente, CA 92673-6310
Phone
(949) 359-8273
Fax
(949) 943-1541
NPI assigned
Sep 4, 2014
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
Mr. Ron Girskis
Title
Business Operation Specialist
Phone
(949) 359-8273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 308877 CA Primary

Addresses

Primary practice location

1201 Puerta del Sol Ste 224
San Clemente, CA 92673-6310

Mailing address

PO Box 5915
San Clemente, CA 92674-5915
Phone (949) 625-0376

National Provider Directory

National Provider Directory
Tax ID family
Shreya Health of California2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1821499286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5915",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926745915",
            "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": "1201 PUERTA DEL SOL STE 224",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736310",
            "telephone_number": "949-359-8273",
            "fax_number": "949-943-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREYA HEALTH OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "308877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, 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.