California Prime Recovery Services Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CALIFORNIA PRIME RECOVERY SERVICES INC

Doing business as

California Prime Recovery

Practice address

2790 Harbor Blvd Ste 310
Costa Mesa, CA 92626-5157

Phone

(844) 349-0077

Fax

(714) 434-8034

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Stephen Carmel

Title

Ceo

Phone

(844) 349-0077

Specialties & licenses 1

Addresses

Other names 1

• California Prime Recovery Doing business as

Tax ID family

California Prime Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• California Prime Recovery Services Inc

  • Substance Abuse Rehabilitation Facility
  • Fountain Valley, CA
  • NPI 1225481419
  NPD tax ID

Locations

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1285416222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 NEWHOPE ST STE A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084225",
            "telephone_number": "844-349-0077",
            "fax_number": "714-434-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 HARBOR BLVD STE 310",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265157",
            "telephone_number": "844-349-0077",
            "fax_number": "714-434-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PRIME RECOVERY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "CARMEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-349-0077"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Prime Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathaniel Caito, CADC II
• Natali Calderon
• California Family Institute
• California Pacific Charter Schools
• California Podiatry Associates Inc
• California Rehabilitation & Sports Therapy a California Physical Ther
• California Therapy Solutions
• California Treatment Collective, LLC.
• Jarred Evan Call
• James Terry Callier III

• Adult Mental Health Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.