Organization Active NPI

Compass Recovery Inc.

  • Substance Abuse Rehabilitation Facility
  • Cypress, CA
National Provider Identifier
1881080265
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COMPASS RECOVERY INC.
Practice address
9431 Alderbury St
Cypress, CA 90630-2855
Phone
(949) 370-6018
Fax
(714) 540-1716
NPI assigned
Apr 13, 2015
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Rodger V Shelton
Title
President
Phone
(949) 370-6018

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

9431 Alderbury St
Cypress, CA 90630-2855

Mailing address

2618 San Miguel Dr Ste 345
Newport Beach, CA 92660-5437
Phone (949) 370-6018

Other practice location 1

3151 Airway Drive #F105B
Costa Mesa, CA 92626-9262
Phone (949) 370-6018

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
05D2101277Compass Recovery9431 Alderbury St, Cypress, CA 90630Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory

Locations

3151 Airway Ave
Ste F105B
Costa Mesa, CA 92626
Phone (949) 370-6018

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1881080265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 SAN MIGUEL DR STE 345",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605437",
            "telephone_number": "949-370-6018",
            "fax_number": "714-540-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 ALDERBURY ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302855",
            "telephone_number": "949-370-6018",
            "fax_number": "714-540-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3151 Airway Drive #F105B",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926269262",
            "country_code": "US",
            "telephone_number": "949-370-6018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASS RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "RODGER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-370-6018"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.