NEW EXPERIENCE LLC
NPI 1073271011
Substance Abuse Rehabilitation Facility in Fountain Valley, CA

Active since December 07, 2021CLIA 05D2267402 · Waiver
17971 EUCLID ST, FOUNTAIN VALLEY, CA 92708(714) 814-0272 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 1, 2023, Dec 7, 2021 (2 updates tracked since 2021).

About New Experience Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW EXPERIENCE LLC (NPI 1073271011) is a healthcare organization registered as a substance abuse rehabilitation facility in Fountain Valley, California and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through August 23, 2026 and lists Ryan Aiumu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073271011
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNEW EXPERIENCE LLC
Location Address17971 EUCLID STFountain Valley, CA 92708-5409
Mailing AddressPo Box 2498Costa Mesa, CA 92628-2498
Organization SubpartNo
Authorized OfficialRyan AiumuCeo · (714) 814-0272
Enumeration DateDecember 7, 2021
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
NPI 1073271011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
17971 EUCLID ST, Fountain Valley, CA 92708

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2267402

New Experience · Anaheim, CA
Active · expires Aug 23, 2026
CLIA Number05D2267402
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorSanjai Thankachen
Laboratory Phone(714) 814-0272
Laboratory LocationNew Experience701 E Ball Rd Ste 200, Anaheim, CA 92805
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation, Substance Use Disorder)
17971 EUCLID ST
FOUNTAIN VALLEY, CA 92708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Experience LLC's NPI number?

The NPI number for New Experience LLC is 1073271011. It was assigned to this organization in the NPPES registry on December 7, 2021.

Where is New Experience LLC located?

New Experience LLC is located at 17971 Euclid St, Fountain Valley, CA 92708. The listed phone number is (714) 814-0272.

What is New Experience LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does New Experience LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2267402) is associated with this NPI, valid through August 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Experience LLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.