NPIMap

Organization Active NPI

Sun Street Centers

  • Substance Abuse Rehabilitation Facility
  • Seaside, CA
National Provider Identifier
1861850778
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SUN STREET CENTERS
Practice address
1201 Echo Ave
Seaside, CA 93955-3719
Phone
(831) 393-9316
Fax
(831) 899-6565
NPI assigned
Feb 5, 2016
Organization subpart
Yes
Parent organization
SUN STREET CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Gordon Horne, LAADC
Title
Clinical Supervisor
Phone
(831) 809-8176

Specialties & licenses 1

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

Addresses

Primary practice location

1201 Echo Ave
Seaside, CA 93955-3719

Mailing address

11 Peach Dr
Salinas, CA 93901-3710
Phone (831) 753-5135

Other identifiers 2

IdentifierTypeStateIssuer
270003ENOtherCASTATE OF CALIFORNIA SUBSTANCE USE DISORDER LICENSE FOR OUTPATIENT
3YR/2016OtherCAC.A.R.F. COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES

National Provider Directory

National Provider Directory
Tax ID family
Sun Street Centers13 organizations share this tax ID, including this one
Part of
Sun Street Centers

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1201 Echo Ave
Seaside, CA 93955
Phone (831) 393-9316

1760 Fremont Blvd
Seaside, CA 93955

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1861850778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PEACH DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013710",
            "telephone_number": "831-753-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ECHO AVE",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939553719",
            "telephone_number": "831-393-9316",
            "fax_number": "831-899-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN STREET CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN STREET CENTERS",
        "enumeration_date": "2016-02-05",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "831-809-8176",
        "authorized_official_credential": "LAADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA SUBSTANCE USE DISORDER LICENSE FOR OUTPATIENT",
            "identifier": "270003EN",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C.A.R.F. COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES",
            "identifier": "3YR/2016",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.