Organization Active NPI

California Healing Centers, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Del Mar, CA
National Provider Identifier
1922984665
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CALIFORNIA HEALING CENTERS, LLC
Practice address
15702 Circo Diegueno
Del Mar, CA 92014
Phone
(858) 758-1964
NPI assigned
Aug 15, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Ian Kellam, APCC, CADC III
Title
Partner, Ceo
Phone
(949) 527-1517

Specialties & licenses 1

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

Addresses

Primary practice location

15702 Circo Diegueno
Del Mar, CA 92014

Mailing address

PO Box 9520
Rancho Santa Fe, CA 92067-4520

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1922984665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9520",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920674520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15702 CIRCO DIEGUENO",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "92014",
            "telephone_number": "858-758-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HEALING CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "KELLAM",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "PARTNER, CEO",
        "authorized_official_telephone_number": "949-527-1517",
        "authorized_official_credential": "APCC, CADC III"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.