NPIMap

Organization Active NPI

Casa Capri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1841640315
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CASA CAPRI
Practice address
4001 Westerly PL Ste 110
Newport Beach, CA 92660-2302
Phone
(877) 713-2669
Fax
(877) 963-6329
NPI assigned
Jun 15, 2016
Last updated
Feb 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Ian Roy
Title
Insurance Director
Phone
(916) 533-4285

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

4001 Westerly PL Ste 110
Newport Beach, CA 92660-2302

Mailing address

4001 Westerly PL Ste 110
Newport Beach, CA 92660-2302
Phone (877) 713-2669

Other identifiers 1

IdentifierTypeStateIssuer
300326EPOtherCADHCS

National Provider Directory

National Provider Directory
Tax ID family
Casa Capri6 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.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1841640315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 WESTERLY PL STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602302",
            "telephone_number": "877-713-2669",
            "fax_number": "877-820-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 WESTERLY PL STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602302",
            "telephone_number": "877-713-2669",
            "fax_number": "877-963-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA CAPRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "916-533-4285"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "300326EP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

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