NPIMap

Organization Active NPI

Windward Way Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1578038519
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WINDWARD WAY RECOVERY LLC
Practice address
2137 Doctors Cir Unit B
Costa Mesa, CA 92627-1969
Phone
(657) 304-0103
NPI assigned
Oct 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Ian Roy
Title
Billing Director
Phone
(657) 304-0103

Specialties & licenses 1

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

Addresses

Primary practice location

2137 Doctors Cir Unit B
Costa Mesa, CA 92627-1969

Mailing address

3822 Campus Dr Ste 500
Newport Beach, CA 92660-2607

Other identifiers 1

IdentifierTypeStateIssuer
300246GPOtherCADHCS

National Provider Directory

National Provider Directory
Tax ID family
Windward Way Recovery7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1578038519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 CAMPUS DR STE 500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 DOCTORS CIR UNIT B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271969",
            "telephone_number": "657-304-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD WAY RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "657-304-0103"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "300246GP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.