Active NPI
Oceanrock, LLC
Doing business as OceanRock Recovery
- Community/Behavioral Health Agency
- Newport Beach, CA
National Provider Identifier
1073142907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- OCEANROCK, LLC
- Doing business as
- OceanRock Recovery
- Practice address
- 1100 Quail Street
Suite 205
Newport Beach, CA 92660 - Phone
- (949) 979-6866
- NPI assigned
- Apr 3, 2020
- Last updated
- Jul 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tahamtan Nematbakhsh, JD
- Title
- Ceo
- Phone
- (949) 375-5541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1100 Quail Street
Suite 205
Newport Beach, CA 92660
Mailing address
1100 Quail St Ste 205
Newport Beach, CA 92660-2700
Phone (949) 979-6866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300428AP | Other | CA | DEPARTMENT OF HEALTH CARE SERVICES (DHCS) |
Other names 1
- OceanRock Recovery
National Provider Directory
National Provider Directory- Tax ID family
- Oceanrock LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba OceanRock Recovery
- Community/Behavioral Health Agency
- Farmers Branch, TX
- NPI 1902670185
Locations
1100 Quail St
Ste 205
Newport Beach, CA 92660
Phone (949) 979-6866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689897600000",
"number": "1073142907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 QUAIL ST STE 205",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602700",
"telephone_number": "949-979-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 QUAIL STREET",
"address_2": "SUITE 205",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92660",
"telephone_number": "949-979-6866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEANROCK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-03",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A",
"authorized_official_last_name": "NEMATBAKHSH",
"authorized_official_first_name": "TAHAMTAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-375-5541",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH CARE SERVICES (DHCS)",
"identifier": "300428AP",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OceanRock Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.