CALIFORNIA PRIME RECOVERY
NPI 1225481419
Substance Abuse Rehabilitation Facility in Costa Mesa, CA

Active since July 22, 2016CLIA 05D2135240 · Waiver
2790 HARBOR BLVD STE 310, COSTA MESA, CA 92626(844) 349-0077(714) 734-8034 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2023, Oct 13, 2023, Aug 15, 2019 (3 updates tracked since 2019).

About California Prime Recovery NPPES

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

CALIFORNIA PRIME RECOVERY (NPI 1225481419) is a healthcare organization registered as a substance abuse rehabilitation facility in Costa Mesa, California and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Stephen Michael Carmel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225481419
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCALIFORNIA PRIME RECOVERY SERVICES INC
Location Address2790 HARBOR BLVD STE 310Costa Mesa, CA 92626-5157
Mailing Address17330 Newhope St Ste AFountain Valley, CA 92708-4225 · (949) 510-3358
Fax(714) 734-8034
Organization SubpartNo
Authorized OfficialStephen Michael CarmelCeo · (949) 510-3358
Enumeration DateJuly 22, 2016
Last NPPES UpdateOctober 13, 20233 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1225481419 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.
2790 HARBOR BLVD STE 310, Costa Mesa, CA 92626

Other Names 1

Doing Business AsCalifornia Prime Recovery

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 05D2135240

California Prime Recovery Services Inc · Fountain Valley, CA
Active · expires Aug 16, 2027
CLIA Number05D2135240
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorAlejandro Alva
Laboratory Phone(844) 349-0077
Laboratory LocationCalifornia Prime Recovery Services Inc17330 Newhope St Unit A, Fountain Valley, CA 92708
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.

Clinic/Center (Adult Mental Health)
2790 HARBOR BLVD STE 310
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 California Prime Recovery Services Inc's NPI number?

The NPI number for California Prime Recovery Services Inc is 1225481419. It was assigned to this organization in the NPPES registry on July 22, 2016. The provider is doing business as California Prime Recovery.

Where is California Prime Recovery Services Inc located?

California Prime Recovery Services Inc is located at 2790 Harbor Blvd Ste 310, Costa Mesa, CA 92626. The listed phone number is (844) 349-0077.

What is California Prime Recovery Services Inc's specialty?

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

Does California Prime Recovery Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2135240) is associated with this NPI, valid through August 16, 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 California Prime Recovery Services Inc was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.