OrganizationActive
California Diversion Intervention Foundation
NPI 1154410652 · Addiction (Substance Use Disorder) Counselor · Orange, CA
Provider details
- NPI number
- 1154410652
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Harry Miyaji, Program Director(714) 633-0502
- License
- 300125BN (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
1095 N Main St
Suite B
Orange, CA 92867-5476
Phone: (714) 633-0502
Fax: (714) 633-9249
Street-level locationGet directions
Mailing address
1095 N Main St
Orange, CA 92867-5476
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2009-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.