NEWPORT COAST RECOVERY
NPI 1003040445
Substance Abuse Rehabilitation Facility in Newport Beach, CA

Active since May 13, 2009
1500 W BALBOA BLVD, SUITE 204, NEWPORT BEACH, CA 92663(949) 673-3097(949) 673-3098 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Newport Coast Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEWPORT COAST RECOVERY (NPI 1003040445) is a healthcare organization registered as a substance abuse rehabilitation facility in Newport Beach, California and active in the NPI registry since May 2009. The organization lists Michael Rudolph, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003040445
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNEWPORT COAST RECOVERY
Location Address1500 W BALBOA BLVD, SUITE 204Newport Beach, CA 92663-4548
Mailing Address1500 W Balboa Blvd, Suite 204Newport Beach, CA 92663-4548 · (949) 673-3097 · Fax (949) 673-3098
Fax(949) 673-3098
Organization SubpartNo
Authorized OfficialMichael RudolphMedical Director · (949) 673-3097
Enumeration DateMay 13, 2009
NPI 1003040445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in CA · 300156AP
Definition
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.
1500 W BALBOA BLVD, Newport Beach, CA 92663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Newport Coast Recovery's NPI number?

The NPI number for Newport Coast Recovery is 1003040445. It was assigned to this organization in the NPPES registry on May 13, 2009.

Where is Newport Coast Recovery located?

Newport Coast Recovery is located at 1500 W Balboa Blvd Suite 204, Newport Beach, CA 92663. The listed phone number is (949) 673-3097.

What is Newport Coast Recovery's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Newport Coast Recovery was last updated on May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.