Organization Active NPI

California Detox, LLC

  • Substance Abuse Rehabilitation Facility
  • Laguna Beach, CA
National Provider Identifier
1942944707
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Apr 26, 2022

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)CodeLicenseStatePrimary
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 Doing business as

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
05D2280318California Detox, LLC31365 Monterey St., Laguna Beach, CA 92651Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
California Detox LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

Verify at the official NPI Registry.