Organization Active NPI

Mighty Oaks Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Jose, CA
National Provider Identifier
1487511788
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Feb 26, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2325128Mighty Oaks Recovery, LLC4100 Moorpark Ave Suite 124, San Jose, CA 95117Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.