NPIMap

Organization Active NPI

Sobertec, LLC

  • Substance Abuse Rehabilitation Facility
  • Aliso Viejo, CA
National Provider Identifier
1871936856
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300254AP Issued in CA
Legal business name
SOBERTEC, LLC
Practice address
125 Columbia Ste B
Aliso Viejo, CA 92656-4158
Phone
(949) 430-7824
Fax
(949) 221-8207
NPI assigned
Apr 9, 2013
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Joseph Munguia
Title
Billing Director
Phone
(949) 430-7824

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300254AP CA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X NPF14062 CA
Mental Health Counselor 101YM0800X NPF14062 CA

Addresses

Primary practice location

125 Columbia Ste B
Aliso Viejo, CA 92656-4158

Mailing address

2350 SE Bristol St Ste 200
Newport Beach, CA 92660-2350
Phone (949) 430-7824

National Provider Directory

National Provider Directory
Tax ID family
Sobertec LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

125 Columbia
Ste B
Aliso Viejo, CA 92656
Phone (949) 430-7824

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1871936856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SE BRISTOL ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602350",
            "telephone_number": "949-430-7824",
            "fax_number": "949-221-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COLUMBIA STE B",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564158",
            "telephone_number": "949-430-7824",
            "fax_number": "949-221-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBERTEC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "MUNGUIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "949-430-7824"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300254AP",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "NPF14062",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "NPF14062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.