Active NPI
Adam Cassidy Rojas
- Student in an Organized Health Care Education/Training Program
- Santa Ana, CA
National Provider Identifier
1891426565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 109901
- Practice address
- 1207 E Fruit St
Santa Ana, CA 92701-4206 - Phone
- (714) 953-9373
- NPI assigned
- Jun 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15745-RAC | CA | |
| Social Worker | 104100000X | 109901 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 109901 | CA | Primary |
Addresses
Primary practice location
1207 E Fruit St
Santa Ana, CA 92701-4206
Mailing address
7709 Spinel Ave
Rancho Cucamonga, CA 91730-2130
Phone (909) 815-7159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15745-RAC | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 109901 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1891426565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 SPINEL AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917302130",
"telephone_number": "909-815-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 E FRUIT ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014206",
"telephone_number": "714-953-9373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROJAS",
"first_name": "ADAM",
"middle_name": "CASSIDY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "15745-RAC",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "109901",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "109901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.