Organization Active NPI

Agua Dulce New Beginnings

  • Substance Abuse Rehabilitation Facility
  • Agua Dulce, CA
National Provider Identifier
1962200386
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AGUA DULCE NEW BEGINNINGS
Practice address
10545 Dale Rd
Agua Dulce, CA 91390-2894
Phone
(661) 402-7060
NPI assigned
Mar 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Naira Sargsian
Title
Ceo
Phone
(323) 696-5400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

10545 Dale Rd
Agua Dulce, CA 91390-2894

Mailing address

10545 Dale Rd
Agua Dulce, CA 91390-2894
Phone (661) 402-7060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1962200386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 DALE RD",
            "city": "AGUA DULCE",
            "state": "CA",
            "postal_code": "913902894",
            "telephone_number": "661-402-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10545 DALE RD",
            "city": "AGUA DULCE",
            "state": "CA",
            "postal_code": "913902894",
            "telephone_number": "661-402-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUA DULCE NEW BEGINNINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "SARGSIAN",
        "authorized_official_first_name": "NAIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-696-5400"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agua Dulce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.