Organization Active NPI

Trust Socal LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fountain Valley, CA
National Provider Identifier
1942018445
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
TRUST SOCAL LLC
Practice address
16537 Elm Cir
Fountain Valley, CA 92708-2214
Phone
(949) 280-8360
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Mr. Daniel Matthew Avdee
Title
Compliance Director
Phone
(949) 412-4477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

16537 Elm Cir
Fountain Valley, CA 92708-2214

Mailing address

16537 Elm Cir
Fountain Valley, CA 92708-2214
Phone (949) 280-8360

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1942018445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16537 ELM CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082214",
            "telephone_number": "949-280-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16537 ELM CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082214",
            "telephone_number": "949-280-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUST SOCAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "AVDEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "949-412-4477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.