CRESCENT MOON RECOVERY NEWPORT BEACH
NPI 1770233728
Clinic/Center - Rehabilitation, Substance Use Disorder in Newport Beach, CA

Q: What is Crescent Moon Recovery Newport Beach's NPI number?

The NPI number for Crescent Moon Recovery Newport Beach is 1770233728. It was assigned to this organization in the NPPES registry on March 24, 2022.

Q: What is Crescent Moon Recovery Newport Beach's specialty?

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

Active since March 24, 2022

2901 W COAST HWY, NEWPORT BEACH, CA 92663(949) 997-0080 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Crescent Moon Recovery Newport Beach NPPES

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

CRESCENT MOON RECOVERY NEWPORT BEACH (NPI 1770233728) is a healthcare organization registered as a rehabilitation, substance use disorder in Newport Beach, California and active in the NPI registry since March 2022. The organization lists Jeff Evans, Admissions Director, as its authorized official.

NPPES Registry Identity

NPI1770233728

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameCRESCENT MOON RECOVERY NEWPORT BEACH

Location Address2901 W COAST HWYNewport Beach, CA 92663-4023

Mailing Address2901 W Coast HwyNewport Beach, CA 92663-4023

Phone(949) 997-0080

Organization SubpartYesParent: Crescent Moon Recovery- Orange County Iop, Llc

Authorized OfficialJeff EvansAdmissions Director · (646) 761-9659

Enumeration DateMarch 24, 2022

NPPES CertifiedMarch 24, 2022

✔ NPI 1770233728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

2901 W COAST HWY, Newport Beach, CA 92663

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Other Providers at the Same Location NPPES 3

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

JAN RAYMOND VICENCIO N.P.

Nurse Practitioner (Adult Health)

2901 W COAST HWY, SUITE 200
NEWPORT BEACH, CA 92663

Orange County (562) 229-4813

JEFF EVANS

Counselor (Addiction (Substance Use Disorder))

2901 W COAST HWY
NEWPORT BEACH, CA 92663

Orange County (949) 997-0080

JOSBAT MEDICAL CA

Clinic/Center

2901 W COAST HWY
NEWPORT BEACH, CA 92663

Orange County (949) 271-2013

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 Crescent Moon Recovery Newport Beach's NPI number?

The NPI number for Crescent Moon Recovery Newport Beach is 1770233728. It was assigned to this organization in the NPPES registry on March 24, 2022.

Where is Crescent Moon Recovery Newport Beach located?

Crescent Moon Recovery Newport Beach is located at 2901 W Coast Hwy, Newport Beach, CA 92663. The listed phone number is (949) 997-0080.

What is Crescent Moon Recovery Newport Beach's specialty?

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

When was this NPI record last updated?

The NPPES record for Crescent Moon Recovery Newport Beach was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.