Capistrano Beach Care Center, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CAPISTRANO BEACH CARE CENTER, LLC

Practice address

35410 Del Rey
Capistrano Beach, CA 92624-1814

Phone

(949) 496-5786

Fax

(949) 496-0540

NPI assigned

Mar 12, 2007

Last updated

Apr 7, 2008By 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

Mr. Alireza Talebi

Title

President

Phone

(714) 533-7818

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1114059219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35410 DEL REY",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241814",
            "telephone_number": "949-496-5786",
            "fax_number": "949-496-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35410 DEL REY",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241814",
            "telephone_number": "949-496-5786",
            "fax_number": "949-496-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPISTRANO BEACH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "TALEBI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-533-7818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05585K",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05585J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jitendra R Bhatt, M.D.
• Catherine Breton, DC
• Christopher James Brown, CRNA
• Patricia Saccomanno Brown, PT
• Brad Edward Budde, PHYSICAL THERAPIST
• Capo Beach Healthcare LLC (Capistrano Beach Care Center)
• Capo by the Sea
• Capo Coast Detox LLC
• Capo Coast Recovery LLC
• Care Direct LLC

• Nursing Facility/Intermediate Care Facility in Capistrano Beach, CA
• Providers in Capistrano Beach, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.