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PACIFIC PALMS RECOVERY, LLC.
NPI 1679992853
Substance Abuse Rehabilitation Facility in San Clemente, CA

Active since April 15, 2014
3551 CAMINO MIRA COSTA STE T, SAN CLEMENTE, CA 92672(949) 943-5188(949) 542-8565 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Palms Recovery, Llc. NPPES

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

PACIFIC PALMS RECOVERY, LLC. (NPI 1679992853) is a healthcare organization registered as a substance abuse rehabilitation facility in San Clemente, California and active in the NPI registry since April 2014. The organization lists Amy Christle, Vp/ceo, as its authorized official.

NPPES Registry Identity

NPI1679992853
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePACIFIC PALMS RECOVERY, LLC.
Location Address3551 CAMINO MIRA COSTA STE TSan Clemente, CA 92672-3504
Mailing Address3551 Camino Mira Costa Ste TSan Clemente, CA 92672-3504
Phone(949) 943-5188
Fax(949) 542-8565
Organization SubpartNo
Authorized OfficialAmy ChristleVp/ceo · (949) 943-5188
Enumeration DateApril 15, 2014
✔ NPI 1679992853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 300273AP
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.
3551 CAMINO MIRA COSTA STE T, San Clemente, CA 92672
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Other Providers at the Same Location NPPES 14

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

MARI KONOSHIMA ANDERSEN
Marriage & Family Therapist
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Orange County (949) 272-4444
KYLEE MONIZ
Psychologist
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Orange County (949) 272-4444
MIA GRAJEDA WILLARD LCSW
Social Worker (Clinical)
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Orange County (714) 394-3351
CYNTHIA MAYORGA
Student in an Organized Health Care Education/Training Program
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Orange County (949) 272-4445
RENEE ALICIA STEWART AMFT
Marriage & Family Therapist
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Orange County (949) 272-4444
ISABEL LORRAINE SANTOS ACSW
Social Worker
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Orange County (949) 272-4444
MRS. STEPHANIE MICHELLE MELARA
Marriage & Family Therapist
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Orange County (949) 272-4444
MAGALY ARLEN PHAKOUSONH
Social Worker (Clinical)
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Orange County (949) 272-4444

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 Pacific Palms Recovery, LLC.'s NPI number?

The NPI number for Pacific Palms Recovery, LLC. is 1679992853. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Pacific Palms Recovery, LLC. located?

Pacific Palms Recovery, LLC. is located at 3551 Camino Mira Costa Ste T, San Clemente, CA 92672. The listed phone number is (949) 943-5188.

What is Pacific Palms Recovery, LLC.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Pacific Palms Recovery, LLC. was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.