SOCAL EMPOWERED, LLC
NPI 1386581064
Community Based Residential Treatment Facility, Mental Illness in Mission Viejo, CA

Active since April 30, 2026CLIA 05D2269413 · Waiver
23712 AVENIDA COLUMBIA, MISSION VIEJO, CA 92691(949) 701-3551 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Socal Empowered, Llc NPPES

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

SOCAL EMPOWERED, LLC (NPI 1386581064) is a healthcare organization registered as a community based residential treatment facility, mental illness in Mission Viejo, California and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists James Perraie, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1386581064
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSOCAL EMPOWERED, LLC
Location Address23712 AVENIDA COLUMBIAMission Viejo, CA 92691-3413
Mailing Address22602 Costa Bella DrLake Forest, CA 92630-4218 · (949) 701-3551 · Fax (888) 846-8569
Organization SubpartNo
Authorized OfficialJames PerraieManaging Member · (949) 701-3551
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
NPI 1386581064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
23712 AVENIDA COLUMBIA, Mission Viejo, CA 92691

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 05D2269413

Socal Empowered LLC · Mission Viejo, CA
Active · expires Sep 25, 2026
CLIA Number05D2269413
Laboratory TypeSocial Rehabilitation Fac
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorSanjai J. Thankachen
Laboratory Phone(949) 701-3551
Laboratory LocationSocal Empowered LLC23671 Brasilia, Mission Viejo, CA 92691
CLIA data matches this NPI record on: 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 Socal Empowered, LLC's NPI number?

The NPI number for Socal Empowered, LLC is 1386581064. It was assigned to this organization in the NPPES registry on April 30, 2026.

Where is Socal Empowered, LLC located?

Socal Empowered, LLC is located at 23712 Avenida Columbia, Mission Viejo, CA 92691. The listed phone number is (949) 701-3551.

What is Socal Empowered, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Socal Empowered, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2269413) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Socal Empowered, LLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.