Mission Prep Healthcare
Organization Active NPI Psychiatric Residential Treatment Facility · Bonsall, CA
NPI 1811737992 · NPPES record last updated Jul 11, 2025
Key facts
- NPI
- 1811737992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Residential Treatment Facility 323P00000X
- Legal business name
- MISSION PREP HEALTHCARE
- Practice address
- 7046 Via de la Reina
Bonsall, CA 92003-6400 - Phone
- (833) 589-5150
- Fax
- (949) 579-2876
- NPI assigned
- May 28, 2024
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Farbman
- Title
- Director of Billing
- Phone
- (949) 301-2863
Corporate family (same tax ID) 8
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2308677 | Mission Prep Healthcare LLC | Certificate of waiver | Jul 30, 2026 |
National Provider Directory
- Tax ID family
- Mission Prep Healthcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Yes |
Addresses
Primary practice location
7046 Via de la Reina
Bonsall, CA 92003-6400
Mailing address
30310 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1576
Other providers in Bonsall, CA
- Jonathan McCabe
- Sydney Higgins McKenney
- David C Medway
- Mission Prep Healthcare
- Mission Prep Healthcare
- Monroe Operations, LLC
- Laina Moran
- Margaret Myers
- Jeffrey L. Newman
- Camille Newton
All providers in Bonsall, CA · Psychiatric Residential Treatment Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.