Active NPI
Oceans Luxury Rehab
- Substance Abuse Rehabilitation Facility
- San Clemente, CA
National Provider Identifier
1558045518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- OCEANS LUXURY REHAB
- Practice address
- 147 El Levante
San Clemente, CA 92672-3138 - Phone
- (949) 899-7750
- NPI assigned
- Jun 12, 2023
- 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
- Jackie Bahu
- Title
- Owner
- Phone
- (949) 899-7750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
147 El Levante
San Clemente, CA 92672-3138
Mailing address
1001 Avenida Pico Ste 268
San Clemente, CA 92673-6957
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 |
|---|---|---|---|
| 05D2317292 | Oceans Luxury Rehab | Certificate of waiver | Jan 20, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688515200000",
"number": "1558045518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 AVENIDA PICO STE 268",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 EL LEVANTE",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926723138",
"telephone_number": "949-899-7750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEANS LUXURY REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A",
"authorized_official_last_name": "BAHU",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-899-7750"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.