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EXPERIENCE RECOVERY DETOX & RESIDENTIAL LLC.
NPI 1194250258
Substance Abuse Rehabilitation Facility in Santa Ana, CA

Active since April 26, 2017
3919 W HAZARD AVE, SANTA ANA, CA 92703(714) 713-5272 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2024, Feb 13, 2021, Nov 26, 2019 and 2 more (5 updates tracked since 2017).

About Experience Recovery Detox & Residential Llc. NPPES

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

EXPERIENCE RECOVERY DETOX & RESIDENTIAL LLC. (NPI 1194250258) is a healthcare organization registered as a substance abuse rehabilitation facility in Santa Ana, California and active in the NPI registry since April 2017. The organization maintains a secondary practice location in Santa Ana and lists Phu Nguyen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194250258
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEXPERIENCE RECOVERY DETOX & RESIDENTIAL LLC.
Location Address3919 W HAZARD AVESanta Ana, CA 92703-2625
Mailing Address3919 W Hazard AveSanta Ana, CA 92703-2625 · (800) 870-3973 · Fax (855) 275-5428
Phone(714) 713-5272
Organization SubpartNo
Authorized OfficialPhu NguyenCeo · (714) 951-8514
Enumeration DateApril 26, 2017
Last NPPES UpdateJuly 17, 20255 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
✔ NPI 1194250258 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.
3919 W HAZARD AVE, Santa Ana, CA 92703
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Secondary Practice Location 1

Location 13921 W Hazard AveSanta Ana, CA 92703-2625 · Phone (714) 951-8514

Other Providers at the Same Location NPPES 10

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

RICHARD MITCHELL HILL RAD-1
Counselor (Addiction (Substance Use Disorder))
3919 W HAZARD AVE
SANTA ANA, CA 92703
Orange County (562) 250-6183
NICOLAS LAUZON
Behavior Technician
3919 W HAZARD AVE
SANTA ANA, CA 92703
Orange County (714) 713-5272
MICHAEL HOLGUIN
Behavior Technician
3919 W HAZARD AVE
SANTA ANA, CA 92703
Orange County (714) 713-5272
PHYLLIS DOCTOR LVN
Registered Nurse
3919 W HAZARD AVE
SANTA ANA, CA 92703
Orange County (800) 970-3973
KIRK WINTER
Licensed Vocational Nurse
3919 W HAZARD AVE
SANTA ANA, CA 92703
Orange County (800) 970-3973
MR. LUIS ROBERT AGUIRRE RADT-1
Counselor (Addiction (Substance Use Disorder))
3919 W HAZARD AVE
SANTA ANA, CA 92703
Orange County (714) 586-4778
MR. JEREMY TESCHERA M.A.
Marriage & Family Therapist
3919 W HAZARD AVE
SANTA ANA, CA 92703
Orange County (562) 335-9497
DANIELLE MAILLET LVN
Licensed Vocational Nurse
3919 W HAZARD AVE
SANTA ANA, CA 92703
Orange County (714) 495-4142

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 Experience Recovery Detox & Residential LLC.'s NPI number?

The NPI number for Experience Recovery Detox & Residential LLC. is 1194250258. It was assigned to this organization in the NPPES registry on April 26, 2017.

Where is Experience Recovery Detox & Residential LLC. located?

Experience Recovery Detox & Residential LLC. is located at 3919 W Hazard Ave, Santa Ana, CA 92703. The listed phone number is (714) 713-5272.

What is Experience Recovery Detox & Residential LLC.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Experience Recovery Detox & Residential LLC. was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.