{"npi":"1679857775","type":"NPI-2","status":"active","name":{"display":"Summit Estate Recovery Centers LLC","other":[],"organization_name":"SUMMIT ESTATE RECOVERY CENTERS LLC","authorised_official":"Sergei Vidov"},"specialty":{"primary_taxonomy":"324500000X","primary_taxonomy_description":"Substance Abuse Rehabilitation Facility","slug":"substance-abuse-rehabilitation-facility","schema_org_specialty":null,"all":[{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":false,"state":null,"license":null},{"code":"261QM0850X","description":"Adult Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QR0405X","description":"Substance Use Disorder Rehabilitation Clinic/Center","primary":false,"state":null,"license":null},{"code":"276400000X","description":"Substance Use Disorder Rehabilitation Hospital Unit","primary":false,"state":null,"license":null},{"code":"324500000X","description":"Substance Abuse Rehabilitation Facility","primary":true,"state":"CA","license":"440017AP"}]},"addresses":[{"purpose":"LOCATION","street_1":"4145 OLD ADOBE RD","city":"PALO ALTO","state":"CA","postal_code":"943063724","country_code":"US","phone":"8007016997","fax":"3235765345"},{"purpose":"MAILING","street_1":"7280 BLUE HILL DR STE 7","city":"SAN JOSE","state":"CA","postal_code":"951293624","country_code":"US","phone":"8007016997","fax":"3235765345"}],"license":{"state":"CA","number":"440017AP"},"identifiers":[{"type_code":"01","label":"Other","value":"430100AP","state":"CA","issuer":"DHCS"},{"type_code":"01","label":"Other","value":"430077CP","state":"CA","issuer":"DHCS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-10-06","last_updated":"2025-05-28","_meta":{"source":"NPPES","snapshot_date":"2025-05-28","doc_url":"https://findmynpi.com/api"}}