Urp California LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

URP CALIFORNIA LLC

Practice address

210 W 6TH St
Beaumont, CA 92223-2102

Phone

(954) 654-9072

Fax

(954) 251-3718

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Kayla Macdonald

Title

Ceo

Phone

(954) 654-9072

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1851914212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N FEDERAL HWY STE 206",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603493",
            "telephone_number": "772-812-9652",
            "fax_number": "954-251-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 6TH ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232102",
            "telephone_number": "954-654-9072",
            "fax_number": "954-251-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URP CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-654-9072"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Tran
• Valerie Traynham, M.S.
• Michelle Tucker, RN
• Jerry Turner, LEP
• Lynsay Tzul, CNM/WHNP
• Charles Ignacio Valerio
• Tanya L Vanguilder, O.D.
• Renee A Vantiem, D.C.
• Darlene Vargas, RDHAP
• Jennifer Vargas

• Substance Abuse Rehabilitation Facility in Beaumont, CA
• Providers in Beaumont, 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 Sep 5, 2023; 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.