Organization Active NPI

La Costa Recovery LLC

Doing business as Leucadia Detox

  • Substance Abuse Rehabilitation Facility
  • Encinitas, CA
National Provider Identifier
1467209726
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LA COSTA RECOVERY LLC
Doing business as
Leucadia Detox
Practice address
136 E Jason St
Encinitas, CA 92024-1671
Phone
(949) 359-5669
NPI assigned
May 3, 2024
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Matthew Lee
Title
Admin
Phone
(619) 987-8078

Specialties & licenses 1

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

Addresses

Primary practice location

136 E Jason St
Encinitas, CA 92024-1671

Mailing address

34249 Camino Capistrano Ste 101
Capistrano Beach, CA 92624-1156

Other identifiers 1

IdentifierTypeStateIssuer
370238APOtherCADEPARTMENT OF HEALTH CARE SERVICES

Other names 1

  • Leucadia Detox Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1467209726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34249 CAMINO CAPISTRANO STE 101",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E JASON ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241671",
            "telephone_number": "949-359-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA COSTA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "619-987-8078"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH CARE SERVICES",
            "identifier": "370238AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leucadia Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.