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SAINT ANGEL RECOVERY CENTER, INC.
NPI 1629762372
Substance Abuse Rehabilitation Facility in Tarzana, CA

Active since June 06, 2023CLIA 05D2296525 · Waiver
19567 OXNARD ST, TARZANA, CA 91356(747) 273-2905 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Saint Angel Recovery Center, Inc. NPPES

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

SAINT ANGEL RECOVERY CENTER, INC. (NPI 1629762372) is a healthcare organization registered as a substance abuse rehabilitation facility in Tarzana, California and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Levon Martirosyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629762372
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSAINT ANGEL RECOVERY CENTER, INC.
Location Address19567 OXNARD STTarzana, CA 91356-1027
Mailing Address19567 Oxnard StTarzana, CA 91356-1027 · (747) 273-2905
Phone(747) 273-2905
Organization SubpartNo
Authorized OfficialLevon MartirosyanCeo · (747) 322-0055
Enumeration DateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1629762372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
19567 OXNARD ST, Tarzana, CA 91356
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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 05D2296525

Saint Angel Recovery Center, Inc. · Tarzana, CA
Active · expires Dec 28, 2027
CLIA Number05D2296525
Laboratory TypeResidential Drug & Alcoho
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorJonathan Reitman
Laboratory Phone(747) 528-7038
Laboratory LocationSaint Angel Recovery Center, Inc.19567 Oxnard St., Tarzana, CA 91356
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Saint Angel Recovery Center, Inc.'s NPI number?

The NPI number for Saint Angel Recovery Center, Inc. is 1629762372. It was assigned to this organization in the NPPES registry on June 6, 2023.

Where is Saint Angel Recovery Center, Inc. located?

Saint Angel Recovery Center, Inc. is located at 19567 Oxnard St, Tarzana, CA 91356. The listed phone number is (747) 273-2905.

What is Saint Angel Recovery Center, Inc.'s specialty?

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

Does Saint Angel Recovery Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2296525) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saint Angel Recovery Center, Inc. was last updated on June 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.