ADDICTION HEALTH ALLIANCE LLC (NPI# 1629469804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629469804 |
| Entity Type | Organization |
| Organization Name | ADDICTION HEALTH ALLIANCE LLC |
| Other Organization Name | SOUTHER CALIFORNIA SERVICES |
| Practice Address |
34249 Camino Capistrano Suite 102 Capistrano Beach CA 92624 |
| Mailing Address |
34249 Camino Capistrano Suite 102 Capistrano Beach CA 92624-1138 |
| Practice Telephone | 9495423874 |
| Mailing Telephone | 9495423874 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | TRAVIS PAUTSCH (PARTNER) |
| Authorized Official Telephone | 9494816156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 05D20866736 | 01 | |
| CA | STATE OF CALIFORNIA | CDF346854 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTHER CALIFORNIA SERVICES | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27136 Paseo Espada, Suite A124, San Juan Capistrano, CA 926752728 | 9495423874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| Street Address |
34249 CAMINO CAPISTRANO SUITE 102 |
| City | CAPISTRANO BEACH |
| State | CA |
| Zip Code | 92624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922024777 | Peter John Elliot Scheid | Family Medicine | 34249 Camino Capistrano, Capistrano Beach, CA 92624-1138 | 2006-07-14 |
| 1225578966 | Southern California Medical Centers, LLC | Psychiatry & Neurology | 34249 Camino Capistrano, Suite 104, Capistrano Beach, CA 92624 | 2017-02-28 |
| 1710370002 | Peter J. Scheid, M.d. Inc | Family Medicine | 34249 Camino Capistrano, Capistrano Beach, CA 92624-1138 | 2015-03-10 |
| 1679906119 | Tml Recovery, LLC | Clinic/Center | 34249 Camino Capistrano, Capistrano Beach, CA 92624 | 2013-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780165662 | Alerra, LLC | Radiology | 34443 Via Verde, B, Capistrano Beach, CA 92624 | 2018-08-28 |
| 1326417650 | Statmobile, Inc. | Clinic/Center | 34443 Via Verde B, Capistrano Beach, CA 92624 | 2015-09-16 |
| 1063763142 | Virginia Schoenfeld | Naturopath | 26933 Camino De Estrella Ste B, Dana Point, CA 92624 | 2012-09-28 |
| 1801945175 | Daniel Marcos Sarinana | Massage Therapist | 27045 Camino De Estrella, Unit B, Capistrano Beach, CA 92624 | 2007-01-09 |
| 1922102094 | Robert William Sears | Pediatrics | 26933 Camino De Estrella, Suite #a, Capistrano Beach, CA 92624 | 2006-09-11 |
| 1457916918 | Care Direct LLC | Occupational Therapy Assistant | 34641 Via Catalina, Unit B, Capistrano Beach, CA 92624 | 2019-05-09 |
| 1649374729 | James Michael Sears | Pediatrics | 26933 Camino De Estrella, Suite #a, Capistrano Beach, CA 92624 | 2006-09-11 |
| 1538263611 | William Penton Sears | Pediatrics | 26933 Camino De Estrella, Suite #a, Capistrano Beach, CA 92624 | 2006-09-11 |
| 1972959229 | Katie O'mara | Dietitian, Registered | 34462 Calle Carmelita, Capistrano Beach, CA 92624-1022 | 2016-05-05 |
| 1730391202 | Patricia Saccomanno Brown | Physical Therapist | 34507 Calle Portola, Capistrano Beach, CA 92624-1043 | 2007-05-04 |
| Find all providers in zip 92624 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| Find all providers with the same taxonomy | ||||
| City | CAPISTRANO BEACH |
| Zip Code | 92624 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.