PHOENIX HOUSE ORANGE COUNTY INC. NPI 1083923429

NPI Information

NPI: 1083923429
Provider Name: PHOENIX HOUSE ORANGE COUNTY, INC.
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Specialization: Substance Abuse Treatment, Children
Entity Type: Organization
Other Name: CYS PHOENIX ACADEMY OF ORANGE COUNTY
Address: 1207 E FRUIT ST
SANTA ANA, CA
ZIP 92701
Phone: (714) 953-9373

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NPI Details

PHOENIX HOUSE ORANGE COUNTY, INC. is a substance abuse treatment and children substance abuse rehabilitation facility in Santa Ana, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. PHOENIX HOUSE ORANGE COUNTY, INC. NPI is 1083923429. The provider is registered as an organization entity type.
The provider Other Name Is Cys Phoenix Academy Of Orange County.

The provider's business location address is:

1207 E FRUIT ST
SANTA ANA, CA
ZIP 92701-206
Phone: (714) 953-9373

The provider's authorized official is Pouria Abbassi .
The authorized official title is Senior Vp, Regional Director and has the following contact phone number (818) 686-3011.

The enumeration date for this NPI number is 10/4/2010 and was last updated on 7/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	300605606	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1612	OTHER	CALIFORNIA	LEGAL ENTITY NUMBER
2	300605606	OTHER	CALIFORNIA	CA DEPT OF ALCOHOL AND DRUG PROGRAM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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