NPIMap

Organization Active NPI

South Coast Traverse

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Costa Mesa, CA
National Provider Identifier
1982879813
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
SOUTH COAST TRAVERSE
Practice address
590 Traverse Dr
Costa Mesa, CA 92626-3117
Phone
(714) 546-7731
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Ellen MC Guirk
Title
Ceo
Phone
(949) 244-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

590 Traverse Dr
Costa Mesa, CA 92626-3117

Mailing address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Phone (909) 980-6700

National Provider Directory

National Provider Directory
Tax ID family
South Coast Traverse23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

3100 S Harbor Blvd
Ste 200
Santa Ana, CA 92704
Phone (714) 966-8656

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1982879813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 160",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912777",
            "telephone_number": "909-980-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 TRAVERSE DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263117",
            "telephone_number": "714-546-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST TRAVERSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "MC GUIRK",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-244-5757"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.