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BREAKAWAY HEALTH CORPORATION
NPI 1851474225
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Costa Mesa, CA

Active since October 21, 2006CLIA 05D2105279 · Waiver
3151 AIRWAY AVE # D-1D2, COSTA MESA, CA 92626(714) 957-8229(714) 957-0244 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2024, May 12, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Breakaway Health Corporation NPPES

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

BREAKAWAY HEALTH CORPORATION (NPI 1851474225) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Costa Mesa, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 22, 2027 and lists Hannah Plaskett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1851474225
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameBREAKAWAY HEALTH CORPORATION
Location Address3151 AIRWAY AVE # D-1D2Costa Mesa, CA 92626-4607
Mailing Address3151 Airway Ave Ste D1Costa Mesa, CA 92626-4622 · (714) 957-8229
Phone(714) 957-8229
Fax(714) 957-0244
Organization SubpartNo
Authorized OfficialHannah PlaskettCfo · (714) 957-8229
Enumeration DateOctober 21, 2006
Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1851474225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 300065A (CA)
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
3151 AIRWAY AVE # D-1D2, Costa Mesa, CA 92626
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Other Identifiers 1

Other300065CPCA · Dhcs License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D2105279

Breakaway Health Corporation · Costa Mesa, CA
Active · expires Nov 22, 2027
CLIA Number05D2105279
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateNovember 23, 2025
Certificate Expiration DateNovember 22, 2027
Laboratory DirectorRandall G. Turner
Laboratory Phone(714) 957-8229
Laboratory LocationBreakaway Health Corporation3151 Airway Ave Ste D1, Costa Mesa, CA 92626
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 Breakaway Health Corporation's NPI number?

The NPI number for Breakaway Health Corporation is 1851474225. It was assigned to this organization in the NPPES registry on October 21, 2006.

Where is Breakaway Health Corporation located?

Breakaway Health Corporation is located at 3151 Airway Ave # D-1d2, Costa Mesa, CA 92626. The listed phone number is (714) 957-8229.

What is Breakaway Health Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

Does Breakaway Health Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2105279) is associated with this NPI, valid through November 22, 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 Breakaway Health Corporation was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.