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BEACHSIDE RECOVERY CENTER LLC
NPI 1952815110
Substance Abuse Rehabilitation Facility in Tustin, CA

Active since November 27, 2017
15548 SONORA ST, TUSTIN, CA 92782(949) 393-4070 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2019, Nov 27, 2017 (2 updates tracked since 2017).

About Beachside Recovery Center Llc NPPES

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

BEACHSIDE RECOVERY CENTER LLC (NPI 1952815110) is a healthcare organization registered as a substance abuse rehabilitation facility in Tustin, California and active in the NPI registry since November 2017. The organization lists Darryle Mackelvey, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1952815110
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBEACHSIDE RECOVERY CENTER LLC
Location Address15548 SONORA STTustin, CA 92782-1936
Mailing AddressPo Box 511330Los Angeles, CA 90051-7885
Phone(949) 393-4070
Organization SubpartYes
Authorized OfficialDarryle MackelveySupervisor · (714) 948-6086
Enumeration DateNovember 27, 2017
Last NPPES UpdateOctober 28, 20192 updates tracked since enumeration
✔ NPI 1952815110 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 · 300315DP
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.
15548 SONORA ST, Tustin, CA 92782
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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 Beachside Recovery Center LLC's NPI number?

The NPI number for Beachside Recovery Center LLC is 1952815110. It was assigned to this organization in the NPPES registry on November 27, 2017.

Where is Beachside Recovery Center LLC located?

Beachside Recovery Center LLC is located at 15548 Sonora St, Tustin, CA 92782. The listed phone number is (949) 393-4070.

What is Beachside Recovery Center 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 Beachside Recovery Center LLC was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.