California Care Detox & Treatment

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CALIFORNIA CARE DETOX & TREATMENT

Doing business as

California Care Mental Health

Practice address

25542 Dana Mesa Dr
San Juan Capistrano, CA 92675-4311

Phone

(949) 291-3333

NPI assigned

Jul 19, 2022

Last updated

Jul 19, 2022By 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

Jason Bouquet

Title

Ceo

Phone

(949) 291-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• California Care Mental Health Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

California Care Detox Treatment3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• California Care Detox & Treatment

  • Substance Abuse Rehabilitation Facility
  • Mission Viejo, CA
  • NPI 1801497359
  NPD tax ID
• California Care Detox & Treatment

  dba California Care Mental Health (IOP)

  • Adult Mental Health Clinic/Center
  • Laguna Hills, CA
  • NPI 1942952593
  NPD tax ID

Locations

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1104551506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27075 CABOT RD STE 109",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25542 DANA MESA DR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754311",
            "telephone_number": "949-291-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARE DETOX & TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "BOUQUET",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-291-3333"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE",
            "identifier": "306006150",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.califcare.com",
            "affiliation": "N",
            "address_1": "25542 Dana Mesa Dr",
            "city": "San Juan Capistrano",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926754311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "California Care Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle G Bryant, MASSAGE THERAPIST
• Alina Burkholder
• Dana Caballero, LCSW
• Juan Raphael Caldera, PHD, D(ABMM)
• Kaitlyn Calhoun
• California Physical Therapy Providers, Inc.
• California Rehabilitation & Sports Therapy a California Physical Ther (Cal Rehab - San Juan Capistrano)
• California Shores Inc. (Adagio San Juan)
• Calvin Harrah, PH.D.& Marlene Laping, PH.D. a Professional Organizatio
• Hector G Camacho Perez-Arce, PA-C

• Adult Mental Health Clinic/Center in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.