Sober First Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300027AP Issued in CA

Legal business name

SOBER FIRST RECOVERY LLC

Doing business as

Sober First Recovery

Practice address

3309 Clay St
Newport Beach, CA 92663-4208

Phone

(949) 574-2510

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Leslee Manderson

Title

Owner

Phone

(949) 294-9974

Specialties & licenses 2

Addresses

Other names 1

• Sober First Recovery Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Mary Amber Cortland

  • Marriage & Family Therapist
  • Stockton, CA
  • NPI 1477238269
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1851898811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 CLAY ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 CLAY ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634208",
            "telephone_number": "949-574-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 Old Newport Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926634211",
            "country_code": "US",
            "telephone_number": "949-574-2510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOBER FIRST RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "MANDERSON",
        "authorized_official_first_name": "LESLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-294-9974"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "300027BP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300027AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sober First Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimiko Marie Snider, M.D.
• Lincoln Mackey Snyder, M.D.
• Michael James Snyder, D.C.
• Steven Van Snyder, M.D.
• David Hyunho So, M.D.
• Sober Living by the Sea, Inc
• Sober Living by the Sea, Inc
• Sober Living by the Sea, Inc
• Sober Living by the Sea, Inc
• Shahab Sobhanian, P.A.

• Substance Abuse Rehabilitation Facility in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.