Beachfront Sober Living, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BEACHFRONT SOBER LIVING, INC

Doing business as

Beachfront Recovery

Practice address

1730 Pomona Ave
Costa Mesa, CA 92627-3628

Phone

(562) 972-3955

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Adam ShandrowNPI 1023851003

Title

Coo

Phone

(949) 763-4175

Specialties & licenses 1

Addresses

Other names 1

• Beachfront Recovery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Shandrow

  • Adult Mental Health Clinic/Center
  • Costa Mesa, CA
  • NPI 1023851003
  NPD Authorized official

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1952131245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 POMONA AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273628",
            "telephone_number": "562-972-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 POMONA AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273628",
            "telephone_number": "562-972-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHFRONT SOBER LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "SHANDROW",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-763-4175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beachfront Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bay Back Clinical Infusions PC
• Meyse Baydoun
• Mayra Bazavilvazo, D.M.D
• Halle Be
• Beach Cities Recovery LLC
• William Warren Beacom, L.C.S.W.
• Judith Anne Beadles, MFT
• Shayne Allen Beamer
• Kimberly Beard, RN
• Paul G Beas, BSW

• Adult Mental Health Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Adult Mental Health Clinic/Center in California

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