OrganizationActive
Avita Nova
NPI 1780937235 · Community/Behavioral Health Agency · Lake Forest, CA
Avita Nova is a Community/Behavioral Health Agency organization in Lake Forest, CA (NPI 1780937235).
Provider details
- NPI number
- 1780937235
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Erica Holding, Owner(949) 939-8032
Specialties & taxonomies
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1202 Bellecour Way
Lake Forest, CA 92630-7944
Phone: (949) 939-8032
Fax: (949) 525-4759
Street-level locationGet directions
Mailing address
1202 Bellecour Way
Lake Forest, CA 92630-7944
Registry dates
- Enumerated
- 2012-10-22
- Last updated
- 2012-10-22
Frequently asked questions
- What is Avita Nova's NPI number?
- Avita Nova's National Provider Identifier (NPI) is 1780937235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avita Nova?
- Avita Nova is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Avita Nova located?
- Avita Nova's practice location on file with NPPES is 1202 Bellecour Way, Lake Forest, CA 92630-7944.
- What is Avita Nova's phone number?
- The practice phone number listed in the NPPES registry for Avita Nova is (949) 939-8032.
- Who is the authorized official for Avita Nova?
- The authorized official listed on Avita Nova's NPPES record is Erica Holding, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avita Nova's NPI active?
- Yes — Avita Nova's NPI (1780937235) is active in the NPPES registry as of the last update on 2012-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.