Active NPI
Mighty Oaks Recovery
- Substance Use Disorder Rehabilitation Clinic/Center
- San Jose, CA
National Provider Identifier
1487511788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- MIGHTY OAKS RECOVERY
- Practice address
- 4100 Moorpark Ave Ste 124
San Jose, CA 95117-1703 - Phone
- (310) 343-8684
- NPI assigned
- Jan 7, 2026
- 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
- Nicholas Acosta
- Title
- Owner
- Phone
- (213) 924-6968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
4100 Moorpark Ave Ste 124
San Jose, CA 95117-1703
Mailing address
4100 Moorpark Ave Ste 124
San Jose, CA 95117-1703
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 |
|---|---|---|---|
| 05D2325128 | Mighty Oaks Recovery, LLC | Certificate of waiver | Jun 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
4100 Moorpark Ave
Ste 124
San Jose, CA 95117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1487511788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 MOORPARK AVE STE 124",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 MOORPARK AVE STE 124",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171703",
"telephone_number": "310-343-8684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIGHTY OAKS RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-07",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A",
"authorized_official_last_name": "ACOSTA",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "213-924-6968"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.