NPIMap

Organization Active NPI

Beachside Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
National Provider Identifier
1942714100
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300315CP Issued in CA
Legal business name
BEACHSIDE RECOVERY CENTER, LLC
Practice address
10231 Brier LN
Santa Ana, CA 92705-1518
Phone
(626) 756-2301
Fax
(858) 357-8689
NPI assigned
Nov 27, 2017
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BEACHSIDE RECOVERY CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Tara Falcon
Title
Director
Phone
(626) 756-2301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300315CP CA Primary

Addresses

Primary practice location

10231 Brier LN
Santa Ana, CA 92705-1518

Mailing address

10231 Brier LN
Santa Ana, CA 92705-1518
Phone (626) 756-2301

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
05D2292410Beachside Recovery Center10231 Brier Lane, Santa Ana, CA 92705Certificate of waiverOct 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Beachside Recovery LLC11 organizations share this tax ID, including this one
Part of
Beachside Recovery LLC

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1942714100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 BRIER LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051518",
            "telephone_number": "626-756-2301",
            "fax_number": "858-357-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 BRIER LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051518",
            "telephone_number": "626-756-2301",
            "fax_number": "858-357-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE RECOVERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACHSIDE RECOVERY CENTER LLC",
        "enumeration_date": "2017-11-27",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-756-2301"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300315CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.