Balboa Horizons Recovery Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300165AP Issued in CA

Legal business name

BALBOA HORIZONS RECOVERY SERVICES

Practice address

129 Cabrillo St
Costa Mesa, CA 92627-3053

Phone

(949) 515-4140

Fax

(949) 386-8331

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. David Longridge

Title

Owner

Phone

(949) 515-4140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1326313164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 W BALBOA BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926611091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CABRILLO ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273053",
            "telephone_number": "949-515-4140",
            "fax_number": "949-386-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1132 W Balboa Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926611091",
            "country_code": "US",
            "telephone_number": "949-386-8331",
            "fax_number": "949-386-8331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18943 San Felipe St",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927087440",
            "country_code": "US",
            "telephone_number": "949-515-4040",
            "fax_number": "949-386-8331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2868 Royal Palm Dr # Abcd",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926263872",
            "country_code": "US",
            "telephone_number": "949-515-4140",
            "fax_number": "949-386-8331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2864 Royal Palm Dr",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926263830",
            "country_code": "US",
            "telephone_number": "949-515-4140",
            "fax_number": "949-386-8331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALBOA HORIZONS RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "LONGRIDGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-515-4140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300165AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ha Yoon Baek
• Trinidy Baeza
• Anayetzin Bahena
• Alicia Marie Baker, ALICIA
• Jamshied Bakshodeh, DC
• Angelica Alicia Balderas
• Sienna Renee Baldwin
• Taiyahley Kimora Baldwin
• Emily Bales, LMFT
• Donna Ball

• Substance Abuse Rehabilitation Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.