Organization Active NPI

CDT Service Corporation

  • Substance Abuse Rehabilitation Facility
  • Fair Oaks, CA
National Provider Identifier
1992339451
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CDT SERVICE CORPORATION
Practice address
8078 Orange Ave
Fair Oaks, CA 95628-5941
Phone
(916) 671-3937
Fax
(866) 336-7276
NPI assigned
Feb 24, 2020
Organization subpart
Yes
Parent organization
CDT SERVICE CORPORATIONAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mr. Ross Stuart Morton, JD
Title
Coo
Phone
(916) 784-1149

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
CDT Service Corporation23 organizations share this tax ID, including this one
Part of
CDT Service Corporation

Other organizations with this tax ID 22

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

View all 22

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

8078 Orange Ave
Fair Oaks, CA 95628-5941

Mailing address

11230 Gold Express Dr # 310-353
Gold River, CA 95670-4484
Phone (916) 784-1149

Other names 1

NPPES NPI Registry
  • New Dawn Treatment Centers Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2020.

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1992339451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 GOLD EXPRESS DR # 310-353",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704484",
            "telephone_number": "916-784-1149",
            "fax_number": "866-336-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8078 ORANGE AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285941",
            "telephone_number": "916-671-3937",
            "fax_number": "866-336-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT SERVICE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CDT SERVICE CORPORATION",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "916-784-1149",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Dawn Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.