NPIMap

Organization Active NPI

Intervention 911

  • Substance Abuse Rehabilitation Facility
  • Palm Springs, CA
National Provider Identifier
1982410072
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
INTERVENTION 911
Practice address
502 N Cerritos Dr
Palm Springs, CA 92262-6228
Phone
(949) 701-1959
NPI assigned
Dec 4, 2024
Organization subpart
Yes
Parent organization
INTERVENTION 911As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Peter M Gates
Title
Cco
Phone
(949) 701-1959

Specialties & licenses 1

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

Addresses

Primary practice location

502 N Cerritos Dr
Palm Springs, CA 92262-6228

Mailing address

33171 Paseo Cerveza
San Juan Capistrano, CA 92675-4824
Phone (949) 701-1959

Other names 1

  • Ken Seeley Communities Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Intervention 9114 organizations share this tax ID, including this one
Part of
Intervention 911

Other organizations with this tax ID 3

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": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1982410072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33171 PASEO CERVEZA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754824",
            "telephone_number": "949-701-1959",
            "fax_number": "949-258-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N CERRITOS DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626228",
            "telephone_number": "949-701-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTION 911",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERVENTION 911",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "949-701-1959"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ken Seeley Communities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.