NPIMap

Organization Active NPI

Hotel California by the Sea, LLC

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1689137689
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HOTEL CALIFORNIA BY THE SEA, LLC
Practice address
1509 Orange Ave # a
Costa Mesa, CA 92627-3718
Phone
(800) 762-6717
NPI assigned
Apr 8, 2019
Organization subpart
Yes
Parent organization
HOTEL CALIFORNIA BY THE SEA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Kevin Mello
Title
President
Phone
(800) 762-6717

Specialties & licenses 1

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

Addresses

Primary practice location

1509 Orange Ave # a
Costa Mesa, CA 92627-3718

Mailing address

2811 Villa Way
Newport Beach, CA 92663-3728

National Provider Directory

National Provider Directory
Tax ID family
Hotel California by the Sea LLC9 organizations share this tax ID, including this one
Part of
Hotel California by the Sea LLC

Other organizations with this tax ID 8

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1689137689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 VILLA WAY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 ORANGE AVE # A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273718",
            "telephone_number": "800-762-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOTEL CALIFORNIA BY THE SEA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOTEL CALIFORNIA BY THE SEA, LLC",
        "enumeration_date": "2019-04-08",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "MELLO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-762-6717"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 14, 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.