CAPISTRANO BEACH CARE CENTER, LLC
NPI 1114059219
Nursing Facility/Intermediate Care Facility in Capistrano Beach, CA

Active since March 12, 2007CLIA 05D0700361 · Waiver
35410 DEL REY, CAPISTRANO BEACH, CA 92624(949) 496-5786(949) 496-0540 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Capistrano Beach Care Center, Llc NPPES

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

CAPISTRANO BEACH CARE CENTER, LLC (NPI 1114059219) is a healthcare organization registered as a nursing facility/intermediate care facility in Capistrano Beach, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Alireza Talebi, President, as its authorized official.

NPPES Registry Identity

NPI1114059219
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCAPISTRANO BEACH CARE CENTER, LLC
Location Address35410 DEL REYCapistrano Beach, CA 92624-1814
Mailing Address35410 Del ReyCapistrano Beach, CA 92624-1814 · (949) 496-5786 · Fax (949) 496-0540
Fax(949) 496-0540
Organization SubpartNo
Authorized OfficialAlireza TalebiPresident · (714) 533-7818
Enumeration DateMarch 12, 2007
Last NPPES UpdateApril 7, 2008
NPI 1114059219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

35410 DEL REY, Capistrano Beach, CA 92624

Other Identifiers 3

Medicare ID-Type Unspecified055585CA · Medicare
MedicaidZZT05585JCA
MedicaidZZT05585KCA

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 05D0700361

Capistrano Beach Care Center LLC · Capistrano Beach, CA
Active · expires Aug 31, 2026
CLIA Number05D0700361
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChalat Rajaram MD Cmd
Laboratory Phone(949) 496-5785
Laboratory LocationCapistrano Beach Care Center LLC35410 Del Rey, Capistrano Beach, CA 92624
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 6

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

Emergency Medicine (Emergency Medical Services)
35410 DEL REY
DANA POINT, CA 92624
Emergency Medicine (Emergency Medical Services)
35410 DEL REY
DANA POINT, CA 92624
Skilled Nursing Facility
35410 DEL REY
CAPISTRANO BEACH, CA 92624
Skilled Nursing Facility
35410 DEL REY
CAPISTRANO BEACH, CA 92624
Physical Therapist
35410 DEL REY
DANA POINT, CA 92624
Physical Therapist
35410 DEL REY
CAPISTRANO BEACH, CA 92624

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 Capistrano Beach Care Center, LLC's NPI number?

The NPI number for Capistrano Beach Care Center, LLC is 1114059219. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Capistrano Beach Care Center, LLC located?

Capistrano Beach Care Center, LLC is located at 35410 Del Rey, Capistrano Beach, CA 92624. The listed phone number is (949) 496-5786.

What is Capistrano Beach Care Center, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Capistrano Beach Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0700361) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Capistrano Beach Care Center, LLC was last updated on April 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.