1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

AUTHENTIC RECOVERY, LLC.
NPI 1114173036
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since August 12, 2008CLIA 05D2133541 · Waiver
2203 OVERLAND AVE, LOS ANGELES, CA 90064(310) 807-5451 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 30, 2025, Jul 31, 2024, Nov 14, 2023 and 4 more (7 updates tracked since 2016).

About Authentic Recovery, Llc. NPPES

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

AUTHENTIC RECOVERY, LLC. (NPI 1114173036), doing business as Casa Palmera Los Angeles, is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through July 13, 2027, maintains 2 additional practice locations, and lists Magdalen Gustilo, Avp Payer Relations & Strategy, as its authorized official.

NPPES Registry Identity

NPI1114173036
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameAUTHENTIC RECOVERY, LLC.
Location Address2203 OVERLAND AVELos Angeles, CA 90064-2025
Mailing Address18401 Von Karman Ave Ste 500Irvine, CA 92612-8531 · (714) 828-1800 · Fax (714) 882-1186
Phone(310) 807-5451
Organization SubpartNo
Authorized OfficialMagdalen GustiloAvp Payer Relations & Strategy · (714) 568-7667
Enumeration DateAugust 12, 2008
Last NPPES UpdateDecember 30, 20257 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1114173036 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 · 190577AP
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.
2203 OVERLAND AVE, Los Angeles, CA 90064
Open in Google Maps ↗

Other Names 2

Doing Business AsCasa Palmera Los Angeles
Doing Business AsCliffside West La, Overland

Secondary Practice Locations 2

Location 110700 Cushdon AveLos Angeles, CA 90064-3219 · Phone (310) 388-9612
Location 22207 Pelham AveLos Angeles, CA 90064-2006 · Phone (310) 726-3251

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 05D2133541

Authentic Recovery, LLC · Los Angeles, CA
Active · expires Jul 13, 2027
CLIA Number05D2133541
Laboratory TypeResidential Drug/Alco Trt
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorJonathan E. Reitman
Laboratory Phone(714) 988-4381
Laboratory LocationAuthentic Recovery, LLC10700 Cushdon Ave, Los Angeles, CA 90064
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Authentic Recovery, LLC.'s NPI number?

The NPI number for Authentic Recovery, LLC. is 1114173036. It was assigned to this organization in the NPPES registry on August 12, 2008. The provider is doing business as Casa Palmera Los Angeles and Cliffside West LA, Overland.

Where is Authentic Recovery, LLC. located?

Authentic Recovery, LLC. is located at 2203 Overland Ave, Los Angeles, CA 90064. The listed phone number is (310) 807-5451.

What is Authentic Recovery, LLC.'s specialty?

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

Does Authentic Recovery, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2133541) is associated with this NPI, valid through July 13, 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 Authentic Recovery, LLC. was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.