SOUTH COUNTY ADDICTION TREATMENT SERVICES, INC. (NPI# 1821533696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821533696 |
| Entity Type | Organization |
| Organization Name | SOUTH COUNTY ADDICTION TREATMENT SERVICES, INC. |
| Other Organization Name | ORANGE COUNTY ADDICTION TREATMENT SERVICES |
| Practice Address |
148 W Avenida San Antonio San Clemente CA 92672-4354 |
| Mailing Address |
Po Box 3699 San Clemente CA 92674-3699 |
| Practice Telephone | 9166079197 |
| Practice Fax Number | 9494240743 |
| Mailing Telephone | 9166079197 |
| Mailing Fax Number | 9494240743 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | DAVID IAN DEYHIMY (CEO/DIRECTOR) |
| Authorized Official Telephone | 9166079197 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
A82776 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Orange County Addiction Treatment Services | Doing Business As Name - Organization |
| Street Address |
148 W AVENIDA SAN ANTONIO |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265883250 | Kelley Hoffman | Registered Nurse | 148 W Avenida San Antonio, San Clemente, CA 92672-4354 | 2016-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910002 | Physician Anesthesiology Consultants | Anesthesiology | 1600 Rosecrans Ave Fl Center4, Manhattan Beach, CA 90266-3708 | 2020-07-24 |
| 1225300635 | Robert R Kutzner | Anesthesiology | 14591 Newport Ave Ste 100, Tustin, CA 92780-6026 | 2012-01-31 |
| 1275777823 | Johnson First Care Inc | Anesthesiology | 1234 Frussel, #278, Los Angles, CA 90211-3577 | 2009-04-27 |
| 1598903783 | Dr Dorodny Inc | Anesthesiology | 30765 Pacific Coast Hwy, Suite 285, Malibu, CA 90265-3646 | 2009-01-27 |
| 1396958757 | Jack Friedman | Anesthesiology | 2625 W. Alameda Ave, Suite 514, Burbank, CA 91505-4806 | 2007-05-08 |
| 1689600041 | Joseph Angelo Cabaret | Anesthesiology | 601 E Daily Dr, Suite 228, Camarillo, CA 93010-5806 | 2006-06-25 |
| 1013954130 | Gregory Alan Smith | Anesthesiology | 5680 N Fresno St Ste 105, Fresno, CA 93710-8331 | 2006-05-31 |
| 1386173698 | Susan T Koo | Anesthesiology | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2017-06-08 |
| 1376071282 | Pacific United Anesthesia and Critical Care Associates | Anesthesiology | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2017-05-23 |
| 1528513140 | Malcolm John Wehrle Md, A Professional Corporation | Anesthesiology | 1111 S Arroyo Pkwy, Pasadena, CA 91105-3254 | 2016-08-24 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
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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.