POINT BREAK RECOVERY
NPI 1255030813
Substance Abuse Rehabilitation Facility in Ventura, CA

Active since March 02, 2023CLIA 05D2284886 · Waiver
2100 PIERPONT BLVD, VENTURA, CA 93001(805) 415-2441 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2024, Mar 9, 2023, Mar 2, 2023 (3 updates tracked since 2023).

About Point Break Recovery NPPES

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

POINT BREAK RECOVERY (NPI 1255030813) is a healthcare organization registered as a substance abuse rehabilitation facility in Ventura, California and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Kimberly Martin, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1255030813
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePOINT BREAK RECOVERY LLC
Location Address2100 PIERPONT BLVDVentura, CA 93001-3861
Mailing Address44 Duvali DrVentura, CA 93003-2151 · (805) 628-3383
Organization SubpartNo
Authorized OfficialKimberly MartinManaging Member · (805) 813-1659
Enumeration DateMarch 2, 2023
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
NPI 1255030813 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.
2100 PIERPONT BLVD, Ventura, CA 93001

Other Names 1

Doing Business AsPoint Break 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 05D2284886

Point Break Recovery · Ventura, CA
Active · expires Jun 28, 2027
CLIA Number05D2284886
Laboratory TypeResidential Sud Rehabilit
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorDamon B. Raskin
Laboratory Phone(805) 628-3383
Laboratory LocationPoint Break Recovery2100 Pierpont Blvd, Ventura, CA 93003
CLIA data matches this NPI record on: Address Name Phone
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 Point Break Recovery LLC's NPI number?

The NPI number for Point Break Recovery LLC is 1255030813. It was assigned to this organization in the NPPES registry on March 2, 2023. The provider is doing business as Point Break Recovery.

Where is Point Break Recovery LLC located?

Point Break Recovery LLC is located at 2100 Pierpont Blvd, Ventura, CA 93001. The listed phone number is (805) 415-2441.

What is Point Break Recovery LLC's specialty?

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

Does Point Break Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2284886) is associated with this NPI, valid through June 28, 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 Point Break Recovery LLC was last updated on June 24, 2024. 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.