HOTEL CALIFORNIA BY THE SEA, LLC (NPI# 1265867162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265867162 |
| Entity Type | Organization |
| Organization Name | HOTEL CALIFORNIA BY THE SEA, LLC |
| Practice Address |
4504 Seashore Drive Newport Beach CA 92663 |
| Mailing Address |
2811 Villa Way Newport Beach CA 92663 |
| Practice Telephone | 8007626717 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | KEVIN MELLO (PRESIDENT) |
| Authorized Official Telephone | 8007626717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1509 Orange Ave, Costa Mesa, CA 926273718 | 8007626717 | |
| 18801 Flagstaff Ln, Huntington Beach, CA 926461906 | 8007626717 | |
| 19371 Worchester Ln, Huntington Beach, CA 926462045 | 8007626717 | |
| 19671 Ditmar Ln, Huntington Beach, CA 926463111 | 8007626717 | |
| 230 E 17th St Ste 201, Costa Mesa, CA 926273891 | 8007626717 | |
| 317 Rochester St, Costa Mesa, CA 926273113 | 8007626717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467915462 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 18801 Flagstaff Ln, Huntington Beach, CA 92646-1906 | 2019-04-08 |
| 1689137689 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 1509 Orange Ave # A, Costa Mesa, CA 92627-3718 | 2019-04-08 |
| 1770046773 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 1509 Orange Ave # B, Costa Mesa, CA 92627-3718 | 2019-04-08 |
| 1861955866 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 19371 Worchester Ln, Huntington Beach, CA 92646-2045 | 2019-04-08 |
| 1831652841 | Hotel California By The Sea, LLC | Clinic/Center | 400 Westminster Ave Ste 1, Newport Beach, CA 92663-4228 | 2019-04-08 |
| 1851853956 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 19671 Ditmar Ln, Huntington Beach, CA 92646-3111 | 2019-04-05 |
| 1740742840 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 317 Rochester St, Costa Mesa, CA 92627-3113 | 2019-04-05 |
| 1518429612 | Hotel California By The Sea, LLC | Clinic/Center | 230 E 17th St Ste 201, Costa Mesa, CA 92627-3891 | 2019-04-05 |
| 1447712534 | Hotel California By The Sea, LLC | Clinic/Center | 19240 Beach Blvd, Huntington Beach, CA 92648-2310 | 2019-04-05 |
| Street Address |
4504 SEASHORE DRIVE |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| 1205145265 | Thrissawan Sungkapalee | Internal Medicine | 320 Superior Ave Ste 310, Newport Beach, CA 92663 | 2010-09-24 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456413 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6111 Seashore Dr, Newport Beach, CA 92663-2019 | 2020-08-04 |
| 1194345041 | Primavera Recovery | Substance Abuse Rehabilitation Facility | 1451 Quail St Ste 211, Newport Beach, CA 92660-2741 | 2020-04-21 |
| 1578193678 | Gratitude Lodge LLC | Substance Abuse Rehabilitation Facility | 20182 Kline Dr, Newport Beach, CA 92660-1312 | 2020-01-17 |
| 1780157610 | Prosperity Wellness Inc | Substance Abuse Rehabilitation Facility | 20351 Sw Acacia St Fl 1, Newport Beach, CA 92660-1527 | 2019-01-03 |
| 1942725361 | Affinity Group, LLC. | Substance Abuse Rehabilitation Facility | 1911 Kings Rd, Newport Beach, CA 92663-5004 | 2017-08-07 |
| 1265975064 | Joshua House, LLC | Substance Abuse Rehabilitation Facility | 3822 Campus Dr Ste 200, Newport Beach, CA 92660-2609 | 2016-11-28 |
| 1841659893 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 20271 Sw Birch St Ste 202, Newport Beach, CA 92660-1752 | 2016-02-18 |
| 1740668730 | True Recovery, Inc. | Substance Abuse Rehabilitation Facility | 20351 Sw Acacia St Fl 2, Newport Beach, CA 92660-1527 | 2015-05-11 |
| 1164812731 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 4138 Patrice Rd, Newport Beach, CA 92663-3618 | 2015-02-03 |
| 1982943460 | Newport Beach Recovery Center | Substance Abuse Rehabilitation Facility | 207 28th St, Newport Beach, CA 92663-4575 | 2013-02-04 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on HOTEL CALIFORNIA BY THE SEA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.