NPIMap

Organization Active NPI

Reimagine Network

  • Adult Day Care Clinic/Center
  • San Clemente, CA
National Provider Identifier
1871660126
Registry record updated Apr 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000022 Issued in CA
Legal business name
REIMAGINE NETWORK
Practice address
2021 Calle Frontera
San Clemente, CA 92673-5645
Phone
(949) 498-7671
Fax
(949) 361-3361
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2021

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

Authorized official

Name
Mr. Christian Eric Erlenbush, LCSW
Title
Senior Director - Clinical Services
Phone
(949) 498-7671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 060000022 CA Primary
Health Service Clinic/Center 261QH0100X 060000022 CA

Addresses

Primary practice location

2021 Calle Frontera
San Clemente, CA 92673-5645

Mailing address

2021 Calle Frontera
San Clemente, CA 92673-5645
Phone (949) 498-7671

Other names 1

  • Reimagine Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reimagine Network4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2021 Calle Frontera
San Clemente, CA 92673
Phone (949) 498-7671

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617408000000",
    "number": "1871660126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 CALLE FRONTERA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926735645",
            "telephone_number": "949-498-7671",
            "fax_number": "949-361-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CALLE FRONTERA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926735645",
            "telephone_number": "949-498-7671",
            "fax_number": "949-361-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIMAGINE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A",
        "authorized_official_last_name": "ERLENBUSH",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "SENIOR DIRECTOR - CLINICAL SERVICES",
        "authorized_official_telephone_number": "949-498-7671",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000022",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "060000022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reimagine Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.