GENESIS NEW BEGINNING NPI 1215441852

NPI Information

NPI: 1215441852
Provider Name: GENESIS NEW BEGINNING
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
CLIA Number: 05D2172759
Address: 17822 BEACH BLVD STE 278
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (619) 277-1240

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NPI Details

GENESIS NEW BEGINNING is a rehabilitation and substance use disorder clinic center in Huntington Beach, CA. GENESIS NEW BEGINNING NPI is 1215441852. The provider is registered as an organization entity type.

The provider's business location address is:

17822 BEACH BLVD STE 278
HUNTINGTON BEACH, CA
ZIP 92647-180
Phone: (619) 277-1240

The provider's authorized official is Christina Gomes .
The authorized official title is Ceo and has the following contact phone number (714) 375-3795.

The CLIA number assigned to this NPI record is 05D2172759 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2017 and was last updated on 10/19/2018.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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: 3/30/2025

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