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OC TEEN ADDICTION LLC
NPI 1275210239
Clinic/Center - Adolescent and Children Mental Health in Orange, CA

Active since June 30, 2023CLIA 05D2315146 · Waiver
1940 W ORANGEWOOD AVE STE 206, ORANGE, CA 92868(714) 474-8655(949) 203-2151 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2026, Aug 8, 2023 (2 updates tracked since 2023).

About Oc Teen Addiction Llc NPPES

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

OC TEEN ADDICTION LLC (NPI 1275210239) is a healthcare organization registered as an adolescent and children mental health in Orange, California and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists Rueben Grajeda, Founder, as its authorized official.

NPPES Registry Identity

NPI1275210239
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameOC TEEN ADDICTION LLC
Location Address1940 W ORANGEWOOD AVE STE 206Orange, CA 92868-5037
Mailing Address1101 W Stevens Ave Apt 5Santa Ana, CA 92707-5040 · (714) 474-8655
Phone(714) 474-8655
Fax(949) 203-2151
Organization SubpartNo
Authorized OfficialRueben GrajedaFounder · (714) 474-8655
Enumeration DateJune 30, 2023
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1275210239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
1940 W ORANGEWOOD AVE STE 206, Orange, CA 92868
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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 05D2315146

Oc Teen Addiction · Orange, CA
Active · expires Dec 5, 2026
CLIA Number05D2315146
Laboratory TypeDetox And Residential Tre
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorAlejandro Alva
Laboratory Phone(949) 412-4477
Laboratory LocationOc Teen Addiction1940 W Orangewood Ave Ste 206, Orange, CA 92868
CLIA data matches this NPI record on: Address Name
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.

OC TEEN ADDICTION LLC
Clinic/Center (Adult Mental Health)
1940 W ORANGEWOOD AVE STE 206
ORANGE, CA 92868
Orange County (714) 474-8655

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 Oc Teen Addiction LLC's NPI number?

The NPI number for Oc Teen Addiction LLC is 1275210239. It was assigned to this organization in the NPPES registry on June 30, 2023.

Where is Oc Teen Addiction LLC located?

Oc Teen Addiction LLC is located at 1940 W Orangewood Ave Ste 206, Orange, CA 92868. The listed phone number is (714) 474-8655.

What is Oc Teen Addiction LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Oc Teen Addiction LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2315146) is associated with this NPI, valid through December 5, 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 Oc Teen Addiction LLC was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.