Active NPI
California Detox, LLC
- Substance Abuse Rehabilitation Facility
- Laguna Beach, CA
National Provider Identifier
1942944707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- CALIFORNIA DETOX, LLC
- Practice address
- 31365 Monterey St
Laguna Beach, CA 92651-6946 - Phone
- (949) 742-0172
- NPI assigned
- Apr 26, 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
- Mr. Reese Morgan
- Title
- Cfo
- Phone
- (949) 742-0172
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
31365 Monterey St
Laguna Beach, CA 92651-6946
Mailing address
2549 Eastbluff Dr Ste B726
Newport Beach, CA 92660-3500
Phone (949) 742-0172
Other names 1
- The Laguna House
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 |
|---|---|---|---|
| 05D2280318 | California Detox, LLC | Certificate of waiver | Apr 17, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- California Detox LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Villa Park, CA
- NPI 1730915695
-
- Adult Mental Health Clinic/Center
- Tustin, CA
- NPI 1831968718
-
- Adult Mental Health Clinic/Center
- Orange, CA
- NPI 1952244659
Locations
2549 Eastbluff Dr
Ste B726
Newport Beach, CA 92660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650931200000",
"number": "1942944707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2549 EASTBLUFF DR STE B726",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926603500",
"telephone_number": "949-742-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31365 MONTEREY ST",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926516946",
"telephone_number": "949-742-0172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA DETOX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-26",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "REESE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "949-742-0172",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Laguna House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.