Active NPI
Divine Bliss, Inc.
- Substance Abuse Rehabilitation Facility
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Serena Gupta, PH.D., LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2170269 | Divine Bliss, Dba the Ho Tai Way | Certificate of waiver | Aug 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Corona del Mar, CA
- NPI 1619253697
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.