MIGHTY OAKS RECOVERY
NPI 1487511788
Clinic/Center - Rehabilitation, Substance Use Disorder in San Jose, CA

Active since January 07, 2026CLIA 05D2325128 · Waiver
4100 MOORPARK AVE STE 124, SAN JOSE, CA 95117(310) 343-8684 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Mighty Oaks Recovery NPPES

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

MIGHTY OAKS RECOVERY (NPI 1487511788) is a healthcare organization registered as a rehabilitation, substance use disorder in San Jose, California and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Nicholas Acosta, Owner, as its authorized official.

NPPES Registry Identity

NPI1487511788
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMIGHTY OAKS RECOVERY
Location Address4100 MOORPARK AVE STE 124San Jose, CA 95117-1703
Mailing Address4100 Moorpark Ave Ste 124San Jose, CA 95117-1703
Organization SubpartNo
Authorized OfficialNicholas AcostaOwner · (213) 924-6968
Enumeration DateJanuary 7, 2026
Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
NPI 1487511788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
4100 MOORPARK AVE STE 124, San Jose, CA 95117

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 05D2325128

Mighty Oaks Recovery, LLC · San Jose, CA
Active · expires Jun 5, 2027
CLIA Number05D2325128
Laboratory TypeIop
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorSydney Abramson
Laboratory Phone(310) 343-8684
Laboratory LocationMighty Oaks Recovery, LLC4100 Moorpark Ave Suite 124, San Jose, CA 95117
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 Mighty Oaks Recovery's NPI number?

The NPI number for Mighty Oaks Recovery is 1487511788. It was assigned to this organization in the NPPES registry on January 7, 2026.

Where is Mighty Oaks Recovery located?

Mighty Oaks Recovery is located at 4100 Moorpark Ave Ste 124, San Jose, CA 95117. The listed phone number is (310) 343-8684.

What is Mighty Oaks Recovery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Mighty Oaks Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2325128) is associated with this NPI, valid through June 5, 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 Mighty Oaks Recovery was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.