Active NPI
Eleven 11 Recovery LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- San Clemente, CA
National Provider Identifier
1881336931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- ELEVEN 11 RECOVERY LLC
- Doing business as
- Eleven 11 Recovery
- Practice address
- 647 Camino de Los Mares Ste 221
San Clemente, CA 92673-2807 - Phone
- (949) 735-5167
- NPI assigned
- Apr 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Jordan
- Title
- Ceo
- Phone
- (619) 592-3558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
647 Camino de Los Mares Ste 221
San Clemente, CA 92673-2807
Mailing address
647 Camino de Los Mares Ste 221
San Clemente, CA 92673-2807
Phone (949) 735-5167
Other names 1
- Eleven 11 Recovery
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://eleven11recovery.com/ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2317563 | Eleven 11 Recovery LLC | Certificate of waiver | Jan 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
647 Camino de los Mares
Ste 221
San Clemente, CA 92673
Phone (949) 228-9080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776470400000",
"number": "1881336931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 CAMINO DE LOS MARES STE 221",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732807",
"telephone_number": "949-735-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 CAMINO DE LOS MARES STE 221",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732807",
"telephone_number": "949-735-5167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVEN 11 RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-10",
"last_updated": "2026-04-18",
"certification_date": "2026-04-18",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-592-3558"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://eleven11recovery.com/",
"affiliation": "N",
"address_1": "647 Camino De Los Mares Ste 221",
"city": "San Clemente",
"state": "CA",
"country_code": "US",
"postal_code": "926732807",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Eleven 11 Recovery",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eleven 11 Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; 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.