SHORELINE RECOVERY CENTER, LLC
NPI 1598348294
Community/Behavioral Health in San Diego, CA

Active since April 30, 2021CLIA 05D2283093 · Waiver
2859 EL CAJON BLVD, SAN DIEGO, CA 92104(858) 900-5079 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shoreline Recovery Center, Llc NPPES

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

SHORELINE RECOVERY CENTER, LLC (NPI 1598348294) is a healthcare organization registered as a community/behavioral health in San Diego, California and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Robert Wilson, Ceo/llc Member, as its authorized official.

NPPES Registry Identity

NPI1598348294
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHORELINE RECOVERY CENTER, LLC
Location Address2859 EL CAJON BLVDSan Diego, CA 92104-1292
Mailing Address183 Calle Magdalena Ste 101Encinitas, CA 92024-3793 · (858) 900-5079
Organization SubpartNo
Authorized OfficialRobert WilsonCeo/llc Member · (858) 900-5079
Enumeration DateApril 30, 2021
NPPES CertifiedApril 29, 2021
NPI 1598348294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2859 EL CAJON BLVD, San Diego, CA 92104

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 05D2283093

Shoreline Recovery Center LLC · San Diego, CA
Active · expires May 31, 2027
CLIA Number05D2283093
Laboratory TypeOutpatient Behavioral Hea
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorMichael Markopoulos
Laboratory Phone(760) 681-8376
Laboratory LocationShoreline Recovery Center LLC2859 El Cajon Blvd, San Diego, CA 92104
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2859 EL CAJON BLVD
SAN DIEGO, CA 92104
Acupuncturist
2859 EL CAJON BLVD
SAN DIEGO, CA 92104
Acupuncturist
2859 EL CAJON BLVD
SAN DIEGO, CA 92104
Social Worker (Clinical)
2859 EL CAJON BLVD
SAN DIEGO, CA 92104
Acupuncturist
2859 EL CAJON BLVD
SAN DIEGO, CA 92104
Chiropractor
2859 EL CAJON BLVD
SAN DIEGO, CA 92104

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 Shoreline Recovery Center, LLC's NPI number?

The NPI number for Shoreline Recovery Center, LLC is 1598348294. It was assigned to this organization in the NPPES registry on April 30, 2021.

Where is Shoreline Recovery Center, LLC located?

Shoreline Recovery Center, LLC is located at 2859 El Cajon Blvd, San Diego, CA 92104. The listed phone number is (858) 900-5079.

What is Shoreline Recovery Center, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Shoreline Recovery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2283093) is associated with this NPI, valid through May 31, 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 Shoreline Recovery Center, LLC was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.