NPIMap

Organization Active NPI

Resurgence California, LLC

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1851871438
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RESURGENCE CALIFORNIA, LLC
Practice address
3151 Airway Ave Ste K203
Costa Mesa, CA 92626-4638
Phone
(828) 773-4477
Fax
(888) 700-5053
NPI assigned
Aug 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Tanisha Porreca
Title
Coo
Phone
(828) 773-4477

Specialties & licenses 1

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

Addresses

Primary practice location

3151 Airway Ave Ste K203
Costa Mesa, CA 92626-4638

Mailing address

3151 Airway Ave Ste K203
Costa Mesa, CA 92626-4638
Phone (828) 773-4477

National Provider Directory

National Provider Directory
Tax ID family
Resurgence California9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1851871438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE K203",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264638",
            "telephone_number": "828-773-4477",
            "fax_number": "888-700-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE K203",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264638",
            "telephone_number": "828-773-4477",
            "fax_number": "888-700-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCE CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "PORRECA",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "828-773-4477"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.