NPIMap

Organization Active NPI

Mission Prep Healthcare

  • Psychiatric Residential Treatment Facility
  • Bonsall, CA
National Provider Identifier
1811737992
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 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
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Jeffrey Farbman
Title
Director of Billing
Phone
(949) 301-2863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

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

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
05D2308677Mission Prep Healthcare LLC7046 Via de la Reina, Bonsall, CA 92003Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Mission Prep Healthcare9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1811737992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30310 RANCHO VIEJO RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7046 VIA DE LA REINA",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920036400",
            "telephone_number": "833-589-5150",
            "fax_number": "949-579-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PREP HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "FARBMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "949-301-2863"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonsall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.