THE CENTER FOR THE TREATMENT OF ADDICTION


Address: 104 N. Raymond Ave., A-2, Fullerton, CA 92831
Phone: 7149921677

THE CENTER FOR THE TREATMENT OF ADDICTION (NPI# 1649566225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649566225
Entity Type Organization
Organization Name THE CENTER FOR THE TREATMENT OF ADDICTION
Practice Address 104 N. Raymond Ave.
A-2
Fullerton
CA 92831
Mailing Address 104 N Raymond Ave
A-2
Fullerton
CA 92831-4603
Practice Telephone 7149921677
Mailing Telephone 7149921677
Enumeration Date 2011-06-22
Last Update Date 2011-06-22
Authorized Official Name JEANETTE ABNEY (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7149921677
Authorized Official Credential MA, MFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 55017 CA Managed Care Organizations

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073603338 The Center for The Treatment of Addiction Local Education Agency (LEA) 1105 E Commonwealth Ave Ste J, Fullerton, CA 92831-4635 2006-10-14

Office Location

Street Address 104 N. RAYMOND AVE.
A-2
City FULLERTON
State CA
Zip Code 92831

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1699020586 Julia A Bock Occupational Therapy Assistant 1240 N Frances Avenue, Fullerton, CA 92831 2012-07-17
1366746877 Leticia Vallejo Rehabilitation Practitioner 801 E.chapman Ave, Fullerton, CA 92831 2010-12-28
1083916860 Angelica Victoria Norman Counselor 801 East Chapman Suite 203, Fullerton, CA 92831 2010-11-30
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356600589 Clinca Medica Del Angel Preferred Provider Organization 1125 W Orangethorpe Ave, Fullerton, CA 92833-4735 2012-05-08
1124258587 Joyce H. Chong M.d. Inc. Preferred Provider Organization 125 N. Euclid St, Fullerton, CA 92832-1618 2009-07-20
1821529009 Amit Shah D.d.s Preferred Provider Organization 137 W Chapman Ave Ste A, Fullerton, CA 92832-1473 2017-03-21
1548697311 Theodore Pastrana Md., Apc Preferred Provider Organization 100 E Valencia Mesa Dr, Ste. 100, Fullerton, CA 92835-3813 2013-10-10

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1548730450 Mastour & Fard Dental Corp Preferred Provider Organization 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 2018-12-04
1689151698 David W Schwartz Md A Medical Corporation Preferred Provider Organization 29645 Rancho California Rd Ste 105, Temecula, CA 92591 2018-07-23
1184100471 Care Allies Ipa, Inc Preferred Provider Organization 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 2018-07-19
1245723071 Pacific Associates Medical Group, Inc. Preferred Provider Organization 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 2018-06-06
1821585266 Anthony Nguyen Dds Inc Preferred Provider Organization 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 2018-04-20
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Competitor

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City FULLERTON
Zip Code 92831

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Dataset Information

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.

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