DIVINE BLISS, INC.
NPI 1144795261
Substance Abuse Rehabilitation Facility in Costa Mesa, CA

Active since October 04, 2018CLIA 05D2170269 · Waiver
1219 PARNELL PL, COSTA MESA, CA 92626(714) 581-3974 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Dec 9, 2024, Jun 11, 2019 and 2 more (5 updates tracked since 2018).

About Divine Bliss, Inc. NPPES

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

DIVINE BLISS, INC. (NPI 1144795261), doing business as Costa Mesa Detox, is a healthcare organization registered as a substance abuse rehabilitation facility in Costa Mesa, California and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through August 6, 2027, maintains a secondary practice location in Fountain Valley, and lists Serena Gupta, President, as its authorized official.

NPPES Registry Identity

NPI1144795261
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDIVINE BLISS, INC.
Location Address1219 PARNELL PLCosta Mesa, CA 92626-2737
Mailing Address1219 Parnell PlCosta Mesa, CA 92626-2737 · (954) 496-2885
Organization SubpartNo
Authorized OfficialSerena GuptaPresident · (714) 606-4012
Enumeration DateOctober 4, 2018
Last NPPES UpdateJune 3, 20265 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1144795261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1219 PARNELL PL, Costa Mesa, CA 92626

Other Names 1

Doing Business AsCosta Mesa Detox

Secondary Practice Location 1

Location 117974 Los Pesos CirFountain Valley, CA 92708-6018 · Phone (954) 496-2885

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 05D2170269

Divine Bliss, Dba The Ho Tai Way · Costa Mesa, CA
Active · expires Aug 6, 2027
CLIA Number05D2170269
Laboratory TypeSubstance Abuse
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorLawrence V. Tucker
Laboratory Phone(714) 581-3974
Laboratory LocationDivine Bliss, Dba The Ho Tai Way1219 Parnell Place, Costa Mesa, CA 92626
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Licensed Vocational Nurse
1219 PARNELL PL
COSTA MESA, CA 92626

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 Divine Bliss, Inc.'s NPI number?

The NPI number for Divine Bliss, Inc. is 1144795261. It was assigned to this organization in the NPPES registry on October 4, 2018. The provider is doing business as Costa Mesa Detox.

Where is Divine Bliss, Inc. located?

Divine Bliss, Inc. is located at 1219 Parnell Pl, Costa Mesa, CA 92626. The listed phone number is (714) 581-3974.

What is Divine Bliss, Inc.'s specialty?

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

Does Divine Bliss, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2170269) is associated with this NPI, valid through August 6, 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 Divine Bliss, Inc. was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.