THE EDGE TREATMENT CENTER
NPI 1417425604
Community/Behavioral Health in Santa Ana, CA

NPI Status: Active since November 06, 2018

Contact Information

550 N GOLDEN CIRCLE DR STE A
SANTA ANA, CA
ZIP 92705
Phone: (800) 778-1772
Fax: (714) 699-4984

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 05D2193689
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 09-22-2026

About THE EDGE TREATMENT CENTER

This page provides the complete NPI Profile along with additional information for The Edge Treatment Center, a provider established in Santa Ana, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1417425604 assigned on November 2018. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as The Edge Treatment Center. The authorized official of this NPI record is Aaron Bailey (General Counsel)

NPI
1417425604
Provider Legal Name
SAGEBRUSH LLC
Other Organization Name
THE EDGE TREATMENT CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
550 N GOLDEN CIRCLE DR STE A SANTA ANA, CA 92705
Location Phone
(800) 778-1772
Location Fax
(714) 699-4984
Mailing Address
20500 BELSHAW AVENUE DPT 2034 CARSON, CA 90746
Mailing Phone
(949) 298-9228
Mailing Fax
(714) 699-4984
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2018
Last Update Date
01-15-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
3261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AARON BAILEY

Authorized Official Title
GENERAL COUNSEL
Authorized Official Phone
(949) 298-9228

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
05D2193689
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
September 23, 2024
Certificate Expiration Date
September 22, 2026
Laboratory Director
DANIEL INGLISH DO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to The Edge Treatment Center 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417425604, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 8 + 2 + 1 + 0 + 6 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1417425604.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Social Worker (Clinical)
550 N GOLDEN CIRCLE DR STE A
SANTA ANA, CA 92705
Clinic/Center
550 N GOLDEN CIRCLE DR STE A
SANTA ANA, CA 92705
Community/Behavioral Health
550 N GOLDEN CIRCLE DR STE A
SANTA ANA, CA 92705
Social Worker (Clinical)
550 N GOLDEN CIRCLE DR STE A
SANTA ANA, CA 92705
Nurse Practitioner (Psychiatric/Mental Health)
550 N GOLDEN CIRCLE DR STE A
SANTA ANA, CA 92705
Community/Behavioral Health
550 N GOLDEN CIRCLE DR STE A
SANTA ANA, CA 92705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417425604, enumerated as an "organization" on November 06, 2018.

The provider is located at 550 N GOLDEN CIRCLE DR STE A SANTA ANA, CA 92705 and the phone number is (800) 778-1772.

Community/Behavioral Health with taxonomy code 251S00000X.