Capo Canyon Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300359AP Issued in CA

Legal business name

CAPO CANYON RECOVERY LLC

Practice address

26991 El Ciervo LN
Mission Viejo, CA 92691-6018

Phone

(800) 804-8714

NPI assigned

Nov 7, 2016

Last updated

May 26, 2020By 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

Shonte Perluss

Title

Facility Administrator

Phone

(949) 259-3052

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1124560297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 448",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926930448",
            "telephone_number": "800-804-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26991 EL CIERVO LN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916018",
            "telephone_number": "800-804-8714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23822 Stillwater Ln",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926771706",
            "country_code": "US",
            "telephone_number": "800-804-8714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPO CANYON RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "PERLUSS",
        "authorized_official_first_name": "SHONTE",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "949-259-3052"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300359AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecylia Calvario
• Jennifer M. Candelaria
• Vincent Cano, O.D.
• Thiensa Cao
• Nicholas Caplanis, D.M.D., M.S.
• Scott Edward Capobianco, MD
• Nathan Capulong
• Jeffrey Marshall Caputo, D.D.S.
• Cristina Cardenas
• Jayr Alberto Cardenas, BA

• Substance Abuse Rehabilitation Facility in Mission Viejo, CA
• Providers in Mission Viejo, 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 May 26, 2020; 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.