FORTIVA LLC – NPI #1770475329
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

FORTIVA LLC is a substance abuse rehabilitation facility located in GARDEN GROVE, CA. NPPES has assigned the NPI number 1770475329 to FORTIVA LLC on July 17, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Dec 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORTIVA LLC below.

NPI Profile for
FORTIVA LLC

NPI Number
1770475329
Enumeration Date

(about 11 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORTIVA LLC
Primary location
13212 CHAPMAN AVE
GARDEN GROVE, CA 92840-4414
Phone: (714) 703-9492 Fax:
1 Other location(s):
13222 Chapman Ave
Garden Grove, CA 92840-4414
Phone: (714) 703-9492
Fax: (424) 842-7075
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREGORY GOUSHIAN
ADMINISTRATOR
Phone: (856) 803-6612
Updated
Certification Date
Dec 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.