Organization Active NPI

White Oak Recovery Center Outpatient LLC

  • Substance Abuse Rehabilitation Facility
  • Van Nuys, CA
National Provider Identifier
1831021674
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WHITE OAK RECOVERY CENTER OUTPATIENT LLC
Practice address
6023 Hazeltine Ave
Van Nuys, CA 91401-3525
Phone
(704) 838-9222
Fax
(910) 408-0887
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Keaton Weber
Title
Ceo
Phone
(704) 838-9222

Specialties & licenses 1

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

Addresses

Primary practice location

6023 Hazeltine Ave
Van Nuys, CA 91401-3525

Mailing address

4009 Masonboro Loop Rd
Wilmington, NC 28409-3640
Phone (704) 838-9222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1831021674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 MASONBORO LOOP RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093640",
            "telephone_number": "704-838-9222",
            "fax_number": "910-408-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6023 HAZELTINE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914013525",
            "telephone_number": "704-838-9222",
            "fax_number": "910-408-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK RECOVERY CENTER OUTPATIENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KEATON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-838-9222"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.