NPIMap

Organization Active NPI

Southern California Sunrise Recovery Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mission Viejo, CA
National Provider Identifier
1891271144
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER
Practice address
25681 Sabina Ave
Mission Viejo, CA 92691-3914
Phone
(949) 533-3046
NPI assigned
Jul 18, 2018
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Michael Villarreal
Title
Coo
Phone
(949) 533-3046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

25681 Sabina Ave
Mission Viejo, CA 92691-3914

Mailing address

28562 Oso Pkwy # D-313
Rancho Santa Margarita, CA 92688-5595
Phone (949) 533-3046

National Provider Directory

National Provider Directory
Tax ID family
Southern Calfiornia Sunrise Recovery Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1891271144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28562 OSO PKWY # D-313",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885595",
            "telephone_number": "949-533-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25681 SABINA AVE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913914",
            "telephone_number": "949-533-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-533-3046"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

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