South County Addiction Treatment Services, Inc.

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

License

A82776 Issued in CA

Legal business name

SOUTH COUNTY ADDICTION TREATMENT SERVICES, INC.

Practice address

148 W Avenida San Antonio
San Clemente, CA 92672-4354

Phone

(916) 607-9197

Fax

(949) 424-0743

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

David Ian Deyhimy, M.D.

Title

Ceo/Director

Phone

(916) 607-9197

Specialties & licenses 1

Addresses

Other names 1

• Orange County Addiction Treatment Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley Hoffman, N.P.

  • Addiction (Substance Use Disorder) Registered Nurse
  • Laguna Hills, CA
  • NPI 1265883250
  NPD (past)

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1821533696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3699",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926743699",
            "telephone_number": "916-607-9197",
            "fax_number": "949-424-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W AVENIDA SAN ANTONIO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724354",
            "telephone_number": "916-607-9197",
            "fax_number": "949-424-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY ADDICTION TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "DEYHIMY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "916-607-9197",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "A82776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange County Addiction Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sobertec LLC
• Sobriety Support Solutions
• Socal Detox, LLC
• Victoria Joy Soneff
• Krista Sornborger, DPT
• South County Urgent Care Medical Corporation
• South Oc Wellness
• South Orange County Outpatient Surgical Center Inc
• Katelyn Reno South
• Daniel A Souza, PT

• Anesthesiology Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.