Organization Active NPI

Capo Coast Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Capistrano Beach, CA
National Provider Identifier
1447015292
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CAPO COAST RECOVERY LLC
Practice address
34405 Via Gomez
Capistrano Beach, CA 92624-1318
Phone
(949) 359-5669
NPI assigned
Feb 20, 2024
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Mr. Matthew Lee
Title
Admin
Phone
(949) 359-5669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

34405 Via Gomez
Capistrano Beach, CA 92624-1318

Mailing address

34249 Camino Capistrano
Capistrano Beach, CA 92624-1156

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1447015292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34249 CAMINO CAPISTRANO",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34405 VIA GOMEZ",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241318",
            "telephone_number": "949-359-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPO COAST RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "949-359-5669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capistrano Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.