Organization Active NPI

Divine Bliss, Inc.

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1144795261
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DIVINE BLISS, INC.
Practice address
1219 Parnell PL
Costa Mesa, CA 92626-2737
Phone
(714) 581-3974
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Dr. Serena Gupta, PH.D., LMFTNPI 1619253697
Title
President
Phone
(714) 606-4012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Adult Mental Health Clinic/Center 261QM0850X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1219 Parnell PL
Costa Mesa, CA 92626-2737

Mailing address

1219 Parnell PL
Costa Mesa, CA 92626-2737
Phone (954) 496-2885

Other practice location 1

17974 Los Pesos Cir
Fountain Valley, CA 92708-6018
Phone (954) 496-2885

Other names 1

  • Costa Mesa Detox Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2170269Divine Bliss, Dba the Ho Tai Way1219 Parnell Place, Costa Mesa, CA 92626Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1144795261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 PARNELL PL",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262737",
            "telephone_number": "954-496-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 PARNELL PL",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262737",
            "telephone_number": "714-581-3974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17974 Los Pesos Cir",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086018",
            "country_code": "US",
            "telephone_number": "954-496-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVINE BLISS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-606-4012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costa Mesa Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.