SUMMIT COASTAL LIVING
NPI 1831552850
Substance Abuse Rehabilitation Facility in Costa Mesa, CA

Q: What is Summit Coastal Living's NPI number?

The NPI number for Summit Coastal Living is 1831552850. It was assigned to this organization in the NPPES registry on March 29, 2016.

Q: What is Summit Coastal Living's specialty?

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

Active since March 29, 2016

165 E WILSON ST # B, COSTA MESA, CA 92627(949) 689-8880 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Summit Coastal Living NPPES

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

SUMMIT COASTAL LIVING (NPI 1831552850) is a healthcare organization registered as a substance abuse rehabilitation facility in Costa Mesa, California and active in the NPI registry since March 2016. The organization lists Keith B Randle, President, as its authorized official.

NPPES Registry Identity

NPI1831552850

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSUMMIT COASTAL LIVING

Location Address165 E WILSON ST # BCosta Mesa, CA 92627-1564

Mailing AddressPo Box 2028Newport Beach, CA 92659-1028 · (949) 689-8880

Phone(949) 689-8880

Organization SubpartNo

Authorized OfficialKeith B RandlePresident · (949) 689-8880

Enumeration DateMarch 29, 2016

✔ NPI 1831552850 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 · C50412

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.

165 E WILSON ST # B, Costa Mesa, CA 92627

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Other Identifiers 1

OtherC50412CA · Dr. Kambiz Karimi

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 Summit Coastal Living's NPI number?

The NPI number for Summit Coastal Living is 1831552850. It was assigned to this organization in the NPPES registry on March 29, 2016.

Where is Summit Coastal Living located?

Summit Coastal Living is located at 165 E Wilson St # B, Costa Mesa, CA 92627. The listed phone number is (949) 689-8880.

What is Summit Coastal Living'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 Summit Coastal Living was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.