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ANCHORED TIDES RECOVERY
NPI 1750829016
Substance Abuse Rehabilitation Facility in Huntington Beach, CA

Active since February 07, 2017CLIA 05D2131219 · Waiver
19126 MAGNOLIA ST, STE 101, HUNTINGTON BEACH, CA 92646(714) 377-7706(949) 791-2137 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2017, Feb 7, 2017 (2 updates tracked since 2017).

About Anchored Tides Recovery NPPES

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

ANCHORED TIDES RECOVERY (NPI 1750829016) is a healthcare organization registered as a substance abuse rehabilitation facility in Huntington Beach, California and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Alejandro Alva, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1750829016
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameANCHORED TIDES RECOVERY
Location Address19126 MAGNOLIA ST, STE 101Huntington Beach, CA 92646-2235
Mailing Address19126 Magnolia St, Ste 101Huntington Beach, CA 92646-2235
Phone(714) 377-7706
Fax(949) 791-2137
Organization SubpartNo
Authorized OfficialAlejandro AlvaMedical Director · (714) 377-7706
Enumeration DateFebruary 7, 2017
Last NPPES UpdateFebruary 16, 20172 updates tracked since enumeration
✔ NPI 1750829016 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.
19126 MAGNOLIA ST, Huntington Beach, CA 92646
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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 05D2131219

Anchored Tides Recovery, Inc. · Huntington Beach, CA
Active · expires May 23, 2027
CLIA Number05D2131219
Laboratory TypeSud Intensive Outpatient
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorVenice Sanchez
Laboratory Phone(949) 220-3770
Laboratory LocationAnchored Tides Recovery, Inc.19126 Magnolia St Ste 101, Huntington Beach, CA 92646
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.

KENNETH W. HARDY O.D., INC.
Optometrist
19126 MAGNOLIA ST, SUITE 105
HUNTINGTON BEACH, CA 92646
Orange County (714) 962-6601
NICHOLE SUSI-BLAIR
Counselor (Addiction (Substance Use Disorder))
19126 MAGNOLIA ST, SUITE 101
HUNTINGTON BEACH, CA 92646
Orange County (866) 329-6639
DR. KENNETH WILLIAM HARDY O.D.
Optometrist
19126 MAGNOLIA ST, SUITE 105
HUNTINGTON BEACH, CA 92646
Orange County (714) 962-6601
DR. JOY E. KATAOKA O.D.
Optometrist
19126 MAGNOLIA ST, SUITE 105
HUNTINGTON BEACH, CA 92646
Orange County (714) 962-6601
ANDY MOUCK
Counselor (Addiction (Substance Use Disorder))
19126 MAGNOLIA ST
HUNTINGTON BEACH, CA 92646
Orange County (949) 749-6197
EMME DUNBAR
Counselor (Addiction (Substance Use Disorder))
19126 MAGNOLIA ST
HUNTINGTON BEACH, CA 92646
Orange County (949) 749-6197

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 Anchored Tides Recovery's NPI number?

The NPI number for Anchored Tides Recovery is 1750829016. It was assigned to this organization in the NPPES registry on February 7, 2017.

Where is Anchored Tides Recovery located?

Anchored Tides Recovery is located at 19126 Magnolia St Ste 101, Huntington Beach, CA 92646. The listed phone number is (714) 377-7706.

What is Anchored Tides Recovery's specialty?

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

Does Anchored Tides Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2131219) is associated with this NPI, valid through May 23, 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 Anchored Tides Recovery was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.