MISSION PREP HEALTHCARE
NPI 1366143018
Psychiatric Residential Treatment Facility in Rancho Palos Verdes, CA

Active since March 10, 2023CLIA Certified · 3 labs
10 MARTINGALE DR, RANCHO PALOS VERDES, CA 90275(833) 589-5150(949) 579-2876 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2025, Apr 29, 2024, Mar 10, 2023 (3 updates tracked since 2023).

About Mission Prep Healthcare NPPES

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

MISSION PREP HEALTHCARE (NPI 1366143018) is a healthcare organization registered as a psychiatric residential treatment facility in Rancho Palos Verdes, California and active in the NPI registry since March 2023. The organization holds 3 active CLIA laboratory certificates and lists Jeffrey Farbman, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1366143018
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameMISSION PREP HEALTHCARE
Location Address10 MARTINGALE DRRancho Palos Verdes, CA 90275-5249
Mailing Address30310 Rancho Viejo RdSan Juan Capistrano, CA 92675-1576 · Fax (949) 579-2876
Fax(949) 579-2876
Organization SubpartNo
Authorized OfficialJeffrey FarbmanDirector Of Billing · (949) 301-2863
Enumeration DateMarch 10, 2023
Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
NPI 1366143018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
10 MARTINGALE DR, Rancho Palos Verdes, CA 90275

Other Identifiers 2

Other198209778CA · State Of California Department Of Social Services
Other578314The Joint Commission

CLIA Laboratory Certificates CMS CLIA 3

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 05D2295177

Mission Prep Healthcare LLC · Rancho Palos Verdes, CA
Active · expires Dec 5, 2027
CLIA Number05D2295177
Laboratory TypeResidential Sud/Mh Treat
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorWilliam Dodge
Laboratory Phone(949) 313-4709
Laboratory LocationMission Prep Healthcare LLC10 Martingale Dr, Rancho Palos Verdes, CA 90275
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2284680

Mission Prep Healthcare · Rancho Palos Verdes, CA
Active · expires Jun 26, 2027
CLIA Number05D2284680
Laboratory TypeGroup Home
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorWilliam Dodge
Laboratory Phone(858) 248-6765
Laboratory LocationMission Prep Healthcare28111 Palos Verdes Dr E, Rancho Palos Verdes, CA 90275
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2281697

Mission Prep Healthcare · Rancho Palos Verdes, CA
Active · expires May 9, 2027
CLIA Number05D2281697
Laboratory TypeGroup Home
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorWillaim R. Dodge
Laboratory Phone(949) 489-0970
Laboratory LocationMission Prep Healthcare2 Oceanaire Drive, Rancho Palos Verdes, CA 90275
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 Mission Prep Healthcare's NPI number?

The NPI number for Mission Prep Healthcare is 1366143018. It was assigned to this organization in the NPPES registry on March 10, 2023.

Where is Mission Prep Healthcare located?

Mission Prep Healthcare is located at 10 Martingale Dr, Rancho Palos Verdes, CA 90275. The listed phone number is (833) 589-5150.

What is Mission Prep Healthcare's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Mission Prep Healthcare hold CLIA laboratory certificates?

Yes. 3 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 Mission Prep Healthcare was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.