Luminance Recovery Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LUMINANCE RECOVERY CENTER

Practice address

27126B Paseo Espada # B
Suite 721
San Juan Capistrano, CA 92675-2721

Phone

(949) 359-7300

NPI assigned

Apr 14, 2015

Organization subpart

No

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

Authorized official

Name

Michael Castanon

Title

Managing Director

Phone

(949) 359-7326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1134515455",
    "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": "27126B PASEO ESPADA # B",
            "address_2": "SUITE 721",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752721",
            "telephone_number": "949-359-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINANCE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "CASTANON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "949-359-7326"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lott
• Heather Nicol Loupe
• Sarai Loyola
• Jacqueline Kay Lugo, LMFT
• Luminance Health Group
• Mayra Luna
• Jerry Luong
• Kathleen Ann Lynch, M.D.
• Dania Magill, B.S.
• Mallery Dental Corporation

• Substance Use Disorder Rehabilitation Clinic/Center in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.