IndividualActive
Andres Mayorga, RADT
NPI 1104657535 · Addiction (Substance Use Disorder) Counselor · Garden Grove, CA
Provider details
- NPI number
- 1104657535
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- RADT
- Sex
- Male
- Sole proprietor
- Yes
- License
- R1562110524 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13222 Chapman Ave
Garden Grove, CA 92840-4414
Phone: (714) 683-7566
Approximate (ZIP-level) locationGet directions
Mailing address
13222 Chapman Ave
Garden Grove, CA 92840-4414
Registry dates
- Enumerated
- 2024-08-08
- Last updated
- 2024-08-08
- Certified
- 2024-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.