Crystal Cove Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CRYSTAL COVE RECOVERY LLC

Practice address

540 Park Ave
Laguna Beach, CA 92651-2339

Phone

(949) 227-4306

NPI assigned

Mar 26, 2025

Organization subpart

No

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

Authorized official

Name

John Tryon

Title

Director

Phone

(949) 353-7162

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Crystal Cove Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crystal Cove Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Laguna Beach, CA
  • NPI 1043151475
  NPD tax ID

Locations

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1891597175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31706 COAST HWY UNIT 401",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926517022",
            "telephone_number": "949-353-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PARK AVE",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512339",
            "telephone_number": "949-227-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL COVE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "TRYON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-353-7162"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Craik, LCSW
• Emily Crick
• Timothy James Crilly, ATC, EMT
• Jeffrey John Crudo, M.D.
• Crystal Cove Recovery LLC
• CSP Crisis Residential Program
• James Stuart Cumming, M.D.
• Tracy Andrea Darling, MD
• David a Ruskin MD a Professional Medical Corporation
• David Sabet DPM, a Professional Corporation

• Substance Abuse Rehabilitation Facility in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.