South Coast Behavioral Health Guesthouse Incorporation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300313AP Issued in CA

Legal business name

SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION

Practice address

3151 Airway Ave Ste T2
Costa Mesa, CA 92626-4627

Phone

(714) 312-5058

NPI assigned

Apr 20, 2018

Last updated

Mar 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Harris

Title

Cfo

Phone

(949) 467-4324

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1093202434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE T2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264627",
            "telephone_number": "714-312-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE T2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264627",
            "telephone_number": "714-312-5058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1958 Balearic Dr",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926263513",
            "country_code": "US",
            "telephone_number": "657-231-9374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 E Wilson St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926271574",
            "country_code": "US",
            "telephone_number": "949-877-0818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1068 San Pablo Cir",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926261614",
            "country_code": "US",
            "telephone_number": "714-760-4052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5302 Kenilworth Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926494527",
            "country_code": "US",
            "telephone_number": "657-329-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559 Pierpont Dr",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926263108",
            "country_code": "US",
            "telephone_number": "657-245-3272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-467-4324"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300313CP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300313BP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300313DP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300313FP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300313AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcos Soto, BCABA
• Yarely Soto
• South Coast Behavioral Health
• South Coast Behavioral Health (Bridge House, LLC)
• South Coast Behavioral Health
• South Coast Children's Society, Inc
• South Coast Children's Society, Inc (Hope Healing Connection)
• South Coast Counseling, Inc.
• South Coast Rehabilitation Center
• South Coast Specialty Surgery Center, Inc.

• Substance Abuse Rehabilitation Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.