NPIMap

Organization Active NPI

Hotel California by the Sea, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1831652841
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HOTEL CALIFORNIA BY THE SEA, LLC
Practice address
400 Westminster Ave Ste 1
Newport Beach, CA 92663-4228
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

400 Westminster Ave Ste 1
Newport Beach, CA 92663-4228

Mailing address

2811 Villa Way
Newport Beach, CA 92663-3728

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
05D2134466Hotel California by the Sea, LLC400 Westminster, Ste 1, Newport Beach, CA 92663Certificate of waiverAug 2, 2027

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.

Locations

400 Westminster Ave
Ste 1
Newport Beach, CA 92663
Phone (949) 220-0049

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": "1831652841",
    "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": "400 WESTMINSTER AVE STE 1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634228",
            "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": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, 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.
  • 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.