PHOENIX HOUSE ORANGE COUNTY, INC.
NPI 1154081867
Clinic/Center - Rehabilitation, Substance Use Disorder in Santa Ana, CA

Q: What is Phoenix House Orange County, Inc.'s NPI number?

The NPI number for Phoenix House Orange County, Inc. is 1154081867. It was assigned to this organization in the NPPES registry on December 21, 2021.

Q: What is Phoenix House Orange County, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since December 21, 2021CLIA 05D2275390 · Waiver

1901 E 4TH ST STE 350, SANTA ANA, CA 92705(714) 486-0940(714) 546-5496 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phoenix House Orange County, Inc. NPPES

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

PHOENIX HOUSE ORANGE COUNTY, INC. (NPI 1154081867) is a healthcare organization registered as a rehabilitation, substance use disorder in Santa Ana, California and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Maja Trochimczyk, Senior Director Of Planning, as its authorized official.

NPPES Registry Identity

NPI1154081867

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NamePHOENIX HOUSE ORANGE COUNTY, INC.

Location Address1901 E 4TH ST STE 350Santa Ana, CA 92705-3908

Mailing Address11600 Eldridge AveLake View Terrace, CA 91342-6506 · (818) 686-3112 · Fax (818) 897-1293

Phone(714) 486-0940

Fax(714) 546-5496

Organization SubpartNo

Authorized OfficialMaja TrochimczykSenior Director Of Planning · (818) 686-3112

Enumeration DateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1154081867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X

1901 E 4TH ST STE 350, Santa Ana, CA 92705

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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 05D2275390

Phoenix House Orange County Inc · Santa Ana, CA

Active · expires Jan 19, 2027

CLIA Number05D2275390

Laboratory TypeSud Residential/Outpatien

Certificate Effective DateJanuary 20, 2025

Certificate Expiration DateJanuary 19, 2027

Laboratory DirectorRayek Nafiz

Laboratory Phone(818) 686-3112

Laboratory LocationPhoenix House Orange County Inc1207 E Fruit St, Santa Ana, CA 92701

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 9

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

JASMINE GARCIA

Counselor (Addiction (Substance Use Disorder))