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SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION
NPI 1093202434
Substance Abuse Rehabilitation Facility in Costa Mesa, CA

Active since April 20, 2018CLIA 05D2123912 · Waiver
3151 AIRWAY AVE STE T2, COSTA MESA, CA 92626(714) 312-5058 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2021, Apr 20, 2018 (2 updates tracked since 2018).

About South Coast Behavioral Health Guesthouse Incorporation NPPES

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

SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION (NPI 1093202434) is a healthcare organization registered as a substance abuse rehabilitation facility in Costa Mesa, California and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through April 21, 2027, maintains 5 additional practice locations, and lists Rebecca Harris, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093202434
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION
Location Address3151 AIRWAY AVE STE T2Costa Mesa, CA 92626-4627
Mailing Address3151 Airway Ave Ste T2Costa Mesa, CA 92626-4627 · (714) 312-5058
Phone(714) 312-5058
Organization SubpartNo
Authorized OfficialRebecca HarrisCfo · (949) 467-4324
Enumeration DateApril 20, 2018
Last NPPES UpdateMarch 2, 20212 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1093202434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Licenses✔ Licensed in CA · 300313AP✔ Licensed in CA · 300313CP✔ Licensed in CA · 300313BP✔ Licensed in CA · 300313DP✔ Licensed in CA · 300313FP
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.
3151 AIRWAY AVE STE T2, Costa Mesa, CA 92626
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11958 Balearic DrCosta Mesa, CA 92626-3513 · Phone (657) 231-9374
Location 2559 Pierpont DrCosta Mesa, CA 92626-3108 · Phone (657) 245-3272
Location 3275 E Wilson StCosta Mesa, CA 92627-1574 · Phone (949) 877-0818
Location 45302 Kenilworth DrHuntington Beach, CA 92649-4527 · Phone (657) 329-0700
Location 51068 San Pablo CirCosta Mesa, CA 92626-1614 · Phone (714) 760-4052

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2123912

South Coast Behavioral Health · Costa Mesa, CA
Active · expires Apr 21, 2027
CLIA Number05D2123912
Laboratory TypeDtx/Res-Sud Treatment
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorDavid I. Deyhimy, MD
Laboratory Phone(714) 556-2112
Laboratory LocationSouth Coast Behavioral Health559 Pierpont Dr, Costa Mesa, CA 92626
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADLER HEALTH LLC
Clinic/Center (Adult Mental Health)
3151 AIRWAY AVE STE T2
COSTA MESA, CA 92626
Orange County (714) 202-4088
CHARLES ANTHONY MCPHAIL SR. PHD, LCSW
Psychologist (Clinical)
3151 AIRWAY AVE STE T2
COSTA MESA, CA 92626
Orange County (310) 422-6744

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 South Coast Behavioral Health Guesthouse Incorporation's NPI number?

The NPI number for South Coast Behavioral Health Guesthouse Incorporation is 1093202434. It was assigned to this organization in the NPPES registry on April 20, 2018.

Where is South Coast Behavioral Health Guesthouse Incorporation located?

South Coast Behavioral Health Guesthouse Incorporation is located at 3151 Airway Ave Ste T2, Costa Mesa, CA 92626. The listed phone number is (714) 312-5058.

What is South Coast Behavioral Health Guesthouse Incorporation's specialty?

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

Does South Coast Behavioral Health Guesthouse Incorporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2123912) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Coast Behavioral Health Guesthouse Incorporation was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.