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: July 19, 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.Information from the official NPPES registry record, last updated March 1, 2023.

NPPES Registry Identity

NPI1073271011
Entity TypeOrganization
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. How NPI validation works

Primary Specialty

Substance Abuse Rehabilitation Facility

Taxonomy 324500000X · Residential Treatment Facilities

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… Show more

17971 EUCLID ST, Fountain Valley, CA 92708

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2267402
Facility Type
Physician Office
Certificate Effective Date
August 24, 2024
Certificate Expiration Date
August 23, 2026
Laboratory Director
SANJAI THANKACHEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to New Experience Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NEW EXPERIENCE LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073271011, enumerated as an "organization" on December 07, 2021.

The provider is located at 17971 EUCLID ST FOUNTAIN VALLEY, CA 92708 and the phone number is (714) 814-0272.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.