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CAPISTRANO BEACH RECOVERY CENTER LLC
NPI 1124766233
Substance Abuse Rehabilitation Facility in San Juan Capistrano, CA

Active since May 27, 2022CLIA Certified · 2 labs
27391 SILVER CREEK DR, SAN JUAN CAPISTRANO, CA 92675(093) 429-4306 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2023, May 27, 2022 (2 updates tracked since 2022).

About Capistrano Beach Recovery Center Llc NPPES

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

CAPISTRANO BEACH RECOVERY CENTER LLC (NPI 1124766233) is a healthcare organization registered as a substance abuse rehabilitation facility in San Juan Capistrano, California and active in the NPI registry since May 2022. The organization holds 2 active CLIA laboratory certificates and lists Robert Leigh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124766233
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCAPISTRANO BEACH RECOVERY CENTER LLC
Location Address27391 SILVER CREEK DRSan Juan Capistrano, CA 92675-1525
Mailing Address27391 Silver Creek DrSan Juan Capistrano, CA 92675-1525 · (093) 429-4306
Phone(093) 429-4306
Organization SubpartNo
Authorized OfficialRobert LeighCfo · (949) 683-8721
Enumeration DateMay 27, 2022
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1124766233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
27391 SILVER CREEK DR, San Juan Capistrano, CA 92675
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CLIA Laboratory Certificates CMS CLIA 2

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 05D2288403

Capistrano Beach Recovery · San Juan Capistrano, CA
Active · expires Aug 23, 2027
CLIA Number05D2288403
Laboratory TypeResident Treat Center
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorChristian Small
Laboratory Phone(707) 450-7038
Laboratory LocationCapistrano Beach Recovery27381 Silver Creek Dr, San Juan Capistrano, CA 92675
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2288405

Capistrano Beach Recovery Center LLC · San Juan Capistrano, CA
Active · expires Aug 23, 2027
CLIA Number05D2288405
Laboratory TypeResident Substance Abuse
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorChristian Small
Laboratory Phone(707) 450-7038
Laboratory LocationCapistrano Beach Recovery Center LLC27391 Silver Creek Rd, San Juan Capistrano, CA 92675
CLIA data matches this NPI record on: 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 Capistrano Beach Recovery Center LLC's NPI number?

The NPI number for Capistrano Beach Recovery Center LLC is 1124766233. It was assigned to this organization in the NPPES registry on May 27, 2022.

Where is Capistrano Beach Recovery Center LLC located?

Capistrano Beach Recovery Center LLC is located at 27391 Silver Creek Dr, San Juan Capistrano, CA 92675. The listed phone number is (093) 429-4306.

What is Capistrano Beach Recovery Center LLC's specialty?

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

Does Capistrano Beach Recovery Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Capistrano Beach Recovery Center LLC was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.