NPIMap

Organization Active NPI

Luminance Health Group, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Clemente, CA
National Provider Identifier
1093185753
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LUMINANCE HEALTH GROUP, INC.
Practice address
1804 Via Sage
San Clemente, CA 92673-3710
Phone
(949) 359-7300
NPI assigned
Oct 6, 2015
Last updated
May 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Castanon
Title
Owner
Phone
(949) 359-7326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

1804 Via Sage
San Clemente, CA 92673-3710

Mailing address

27131 Calle Arroyo Ste 1703
San Juan Capistrano, CA 92675-2700
Phone (949) 359-7300

National Provider Directory

National Provider Directory
Tax ID family
Luminance Health Group Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1093185753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27131 CALLE ARROYO STE 1703",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752700",
            "telephone_number": "949-359-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 VIA SAGE",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733710",
            "telephone_number": "949-359-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINANCE HEALTH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "CASTANON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-359-7326"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.