Active NPI
Acera Health, LLC
- Adult Mental Health Clinic/Center
- Costa Mesa, CA
National Provider Identifier
1194309765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- ACERA HEALTH, LLC
- Practice address
- 3100 Bristol St Ste 250
Costa Mesa, CA 92626-7336 - Phone
- (949) 518-0628
- Fax
- (949) 386-2212
- NPI assigned
- May 10, 2021
- 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
- Brandon Hilger
- Title
- Chief Executive Officer
- Phone
- (949) 234-6250
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X |
Addresses
Primary practice location
3100 Bristol St Ste 250
Costa Mesa, CA 92626-7336
Mailing address
3843 S Bristol St
PMB #621
Santa Ana, CA 92704-7426
Phone (949) 518-0628
Other practice location 1
3151 Airway Ave Ste P3
Costa Mesa, CA 92626-4626
Phone (949) 518-0628
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 |
|---|---|---|---|
| 05D2274684 | Acera Health, LLC | Certificate of waiver | Jan 8, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Acera Health LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Costa Mesa, CA
- NPI 1043949456
-
- Mental Illness Community Based Residential Treatment Facility
- Newport Beach, CA
- NPI 1447031158
-
- Mental Illness Community Based Residential Treatment Facility
- Corona del Mar, CA
- NPI 1538806302
-
- Mental Illness Community Based Residential Treatment Facility
- Irvine, CA
- NPI 1891473427
Locations
3151 Airway Ave
Ste P3
Costa Mesa, CA 92626
Phone (949) 518-0628
3100 Bristol St
Ste 250
Costa Mesa, CA 92626
Phone (949) 518-0628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1194309765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3843 S BRISTOL ST",
"address_2": "PMB #621",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047426",
"telephone_number": "949-518-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 BRISTOL ST STE 250",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926267336",
"telephone_number": "949-518-0628",
"fax_number": "949-386-2212"
}
],
"practiceLocations": [
{
"address_1": "3151 Airway Ave Ste P3",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926264626",
"country_code": "US",
"telephone_number": "949-518-0628",
"fax_number": "949-386-2212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ACERA HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-10",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "HILGER",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "949-234-6250"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 20, 2024; 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.