IMMERSIVE RECOVERY
NPI 1609303924
Clinic/Center - Rehabilitation, Substance Use Disorder in Encinitas, CA

Active since May 17, 2017CLIA 05D2289235 · Waiver
2236 ENCINITAS BLVD STE DEFGH, ENCINITAS, CA 92024(858) 342-9151 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2022, Jul 21, 2022, Jul 11, 2022 and 2 more (5 updates tracked since 2017).

About Immersive Recovery NPPES

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

IMMERSIVE RECOVERY (NPI 1609303924) is a healthcare organization registered as a rehabilitation, substance use disorder in Encinitas, California and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through September 6, 2027 and lists Wesley Heim, Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1609303924
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCALIFORNIA COASTAL RECOVERY CENTERS
Location Address2236 ENCINITAS BLVD STE DEFGHEncinitas, CA 92024-4352
Mailing Address2236 Encinitas Blvd Ste DEncinitas, CA 92024-4375 · (858) 342-9151
Organization SubpartNo
Authorized OfficialWesley HeimProgram Administrator · (858) 342-9151
Enumeration DateMay 17, 2017
Last NPPES UpdateSeptember 7, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
NPI 1609303924 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
2236 ENCINITAS BLVD STE DEFGH, Encinitas, CA 92024

Other Names 1

Doing Business AsImmersive Recovery

Other Identifiers 1

Other370169APCA · State Certification

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 05D2289235

Immersive Recovery · Encinitas, CA
Active · expires Sep 6, 2027
CLIA Number05D2289235
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorChristian Small
Laboratory Phone(858) 342-9151
Laboratory LocationImmersive Recovery2236 Encinitas Blvd Ste D, Encinitas, CA 92024
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 California Coastal Recovery Centers's NPI number?

The NPI number for California Coastal Recovery Centers is 1609303924. It was assigned to this organization in the NPPES registry on May 17, 2017. The provider is doing business as Immersive Recovery.

Where is California Coastal Recovery Centers located?

California Coastal Recovery Centers is located at 2236 Encinitas Blvd Ste Defgh, Encinitas, CA 92024. The listed phone number is (858) 342-9151.

What is California Coastal Recovery Centers's specialty?

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

Does California Coastal Recovery Centers hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2289235) is associated with this NPI, valid through September 6, 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 California Coastal Recovery Centers was last updated on September 7, 2022. 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.