OCEANS LUXURY REHAB
NPI 1558045518
Substance Abuse Rehabilitation Facility in San Clemente, CA

Active since June 12, 2023CLIA 05D2317292 · Waiver
147 EL LEVANTE, SAN CLEMENTE, CA 92672(949) 899-7750 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 5, 2023, Jun 12, 2023 (2 updates tracked since 2023).

About Oceans Luxury Rehab NPPES

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

OCEANS LUXURY REHAB (NPI 1558045518) is a healthcare organization registered as a substance abuse rehabilitation facility in San Clemente, California and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Jackie Bahu, Owner, as its authorized official.

NPPES Registry Identity

NPI1558045518
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameOCEANS LUXURY REHAB
Location Address147 EL LEVANTESan Clemente, CA 92672-3138
Mailing Address1001 Avenida Pico Ste 268San Clemente, CA 92673-6957
Organization SubpartNo
Authorized OfficialJackie BahuOwner · (949) 899-7750
Enumeration DateJune 12, 2023
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
NPI 1558045518 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.
147 EL LEVANTE, San Clemente, CA 92672

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 05D2317292

Oceans Luxury Rehab · San Clemente, CA
Active · expires Jan 20, 2027
CLIA Number05D2317292
Laboratory TypeDrug & Alcohol Treatment
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorK Mitchell Naficy
Laboratory Phone(949) 503-3857
Laboratory LocationOceans Luxury Rehab147 El Levante, San Clemente, CA 92672
CLIA data matches this NPI record on: Address Name
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.

Community/Behavioral Health
147 EL LEVANTE
SAN CLEMENTE, CA 92672

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 Oceans Luxury Rehab's NPI number?

The NPI number for Oceans Luxury Rehab is 1558045518. It was assigned to this organization in the NPPES registry on June 12, 2023.

Where is Oceans Luxury Rehab located?

Oceans Luxury Rehab is located at 147 El Levante, San Clemente, CA 92672. The listed phone number is (949) 899-7750.

What is Oceans Luxury Rehab's specialty?

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

Does Oceans Luxury Rehab hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2317292) is associated with this NPI, valid through January 20, 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 Oceans Luxury Rehab was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.