NPIMap

Organization Active NPI

Rising Roads Recovery Services for Women, LLC

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1952811978
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300659BP Issued in CA
Legal business name
RISING ROADS RECOVERY SERVICES FOR WOMEN, LLC
Practice address
3151 Airway Ave Ste I3
Costa Mesa, CA 92626-4624
Phone
(949) 922-1901
NPI assigned
Oct 4, 2017
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Rebecca A Gatdula
Title
Ceo
Phone
(714) 673-9007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300659BP CA Primary

Addresses

Primary practice location

3151 Airway Ave Ste I3
Costa Mesa, CA 92626-4624

Mailing address

24072 Parkhill Rd
Lake Forest, CA 92630-3727

Other identifiers 1

IdentifierTypeStateIssuer
3000659BPOtherCAPPO

National Provider Directory

National Provider Directory
Tax ID family
Rising Roads Recovery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3151 Airway Ave
Ste I3
Costa Mesa, CA 92626
Phone (866) 746-1558

180 Newport Center Dr
Ste 255
Newport Beach, CA 92660
Phone (415) 571-0682

2750 S Harbor Blvd
Ste G
Santa Ana, CA 92704
Phone (626) 643-5378

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1952811978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24072 PARKHILL RD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE I3",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264624",
            "telephone_number": "949-922-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING ROADS RECOVERY SERVICES FOR WOMEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "GATDULA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-673-9007"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300659BP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "3000659BP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.