FRESH START RECOVERY SVCS
NPI 1376326967
Clinic/Center - Rehabilitation, Substance Use Disorder in Costa Mesa, CA

Active since August 16, 2023
204 E 17TH ST STE 203, COSTA MESA, CA 92627(949) 734-9254 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2024, Aug 16, 2023 (2 updates tracked since 2023).

About Fresh Start Recovery Svcs NPPES

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

FRESH START RECOVERY SVCS (NPI 1376326967) is a healthcare organization registered as a rehabilitation, substance use disorder in Costa Mesa, California and active in the NPI registry since August 2023. The organization lists David Wayne Parker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376326967
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameFRESH START RECOVERY SVCS
Location Address204 E 17TH ST STE 203Costa Mesa, CA 92627-7300
Mailing Address204 E 17th St Ste 203Costa Mesa, CA 92627-7300 · (949) 734-9254
Organization SubpartNo
Authorized OfficialDavid Wayne ParkerCeo · (949) 734-9254
Enumeration DateAugust 16, 2023
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
NPI 1376326967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

204 E 17TH ST STE 203, Costa Mesa, CA 92627

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
204 E 17TH ST STE 203
COSTA MESA, CA 92627

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 Fresh Start Recovery Svcs's NPI number?

The NPI number for Fresh Start Recovery Svcs is 1376326967. It was assigned to this organization in the NPPES registry on August 16, 2023.

Where is Fresh Start Recovery Svcs located?

Fresh Start Recovery Svcs is located at 204 E 17th St Ste 203, Costa Mesa, CA 92627. The listed phone number is (949) 734-9254.

What is Fresh Start Recovery Svcs's specialty?

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

When was this NPI record last updated?

The NPPES record for Fresh Start Recovery Svcs was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.