CRESCENT MOON RECOVERY, LLC
NPI 1992384663
Clinic/Center - Rehabilitation, Substance Use Disorder in Fountain Valley, CA
NPI Status: Active since April 07, 2021
Contact Information
11770 WARNER AVE STE 207
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 464-8474
Fax: (714) 948-8883
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About CRESCENT MOON RECOVERY, LLC
This page provides the complete NPI Profile along with additional information for Crescent Moon Recovery, Llc, a provider established in Fountain Valley, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1992384663 assigned on April 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Adam Wade Md (Ceo)
- NPI
- 1992384663
- Provider Name
- CRESCENT MOON RECOVERY, LLC
- Entity Type
- Organization
- Location Address
- 11770 WARNER AVE STE 207 FOUNTAIN VALLEY, CA 92708
- Location Phone
- (714) 464-8474
- Location Fax
- (714) 948-8883
- Mailing Address
- 11770 WARNER AVE STE 207 FOUNTAIN VALLEY, CA 92708
- Mailing Phone
- (714) 464-8474
- Mailing Fax
- (714) 948-8883
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-07-2021
- Last Update Date
- 05-20-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 9 | 2 | 3 | 8 | 4 | 6 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 6 | 8 | 8 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 6 + 8 + 8 + 6 + 1 + 2 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1992384663 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992384663, enumerated in the NPI registry as an "organization" on April 07, 2021
The provider is located at 11770 Warner Ave Ste 207 Fountain Valley, Ca 92708 and the phone number is (714) 464-8474
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
This NPI record was last updated on April 07, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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