NDR PACIFIC, INC


Address: 24482 Caracas St, Dana Point, CA 92629-1320
Phone: 9492188174

NDR PACIFIC, INC (NPI# 1023403714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023403714
Entity Type Organization
Organization Name NDR PACIFIC, INC
Other Organization Name CALIFORNIA COAST DETOX & REHAB
Practice Address 24482 Caracas St
Dana Point
CA 92629-1320
Mailing Address 806 Avenida Pico
Suite I-284
San Clemente
CA 92673-5639
Practice Telephone 9492188174
Practice Fax Number 8667039903
Mailing Telephone 9492358258
Mailing Fax Number 8667039903
Enumeration Date 2015-03-31
Last Update Date 2015-03-31
Authorized Official Name REINER VINCENT NUSBAUM (ADMINISTRATOR)
Authorized Official Telephone 9492358258
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
300306AP CA Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
300306AP CA Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
300306AP CA Behavioral Health & Social Service Providers
Y 324500000X Substance Abuse Rehabilitation Facility 300306AP CA Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
California Coast Detox & Rehab Doing Business As Name - Organization

Office Location

Street Address 24482 CARACAS ST
City DANA POINT
State CA
Zip Code 92629-1320

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003443144 Torrey Dawn Commisso Counselor 34092 Violet Lantern, Suite 100, Dana Point, CA 92629 2020-03-26
1104466473 Kirsten Noelle Yackley Marriage & Family Therapist 34202 Del Obispo, Dana Point, CA 92629 2020-01-14
1154971653 Alicia Jolieta Ciriani Technician 25082 Perch Dr., Dans Point, CA 92629 2019-09-17
1821640137 L Snyder Incorporated Family Medicine 34052 La Plaza #101, Dana Point, CA 92629 2019-07-16
1023572609 Michelle Shickler Behavioral Analyst 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 2019-01-28
1649734427 Gustavo Asencia Behavioral Analyst 32565 Golden Lantern Ste B180, Dana Point, CA 92629 2019-01-25
1275069684 Mission Rehab, LLC. Substance Abuse Rehabilitation Facility 32656 Golden Lantern, Suite B #473, Dana Point, CA 92629 2017-05-04
1922548452 Dana Point Rehab Campus Substance Abuse Rehabilitation Facility 33842 Orilla Rd, Dana Point, CA 92629 2017-03-02
1316340060 Steven Edward Dunbar Chiropractor 32585 Golden Lantern St. Suite H, Dana Point, CA 92629 2014-10-08
1427476183 Lorraine Ann Sherrie Occupational Therapy Assistant 24242 La Cresta, Ot Department, Dana Point, CA 92629 2014-03-31
Find all providers in zip 92629

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy 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.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881256071 Sunshine Behavioral Health LLC Substance Abuse Rehabilitation Facility 35072 Camino Capistrano, Dana Point, CA 92624-1731 2019-07-08
1104380047 Ocean Hills Recovery Inc. Substance Abuse Rehabilitation Facility 34469 Camino El Molino, Dana Point, CA 92624-1070 2019-01-24
1023581691 Oceanway Treatment Center, LLC Substance Abuse Rehabilitation Facility 35492 Del Rey, Dana Point, CA 92624-1836 2019-01-07
1851802458 Alexandra Rose Corporation Substance Abuse Rehabilitation Facility 35402 Camino Capistrano, Dana Point, CA 92624-1805 2017-10-23
1275069684 Mission Rehab, LLC. Substance Abuse Rehabilitation Facility 32656 Golden Lantern, Suite B #473, Dana Point, CA 92629 2017-05-04
1306370192 Luminance Health Group, Inc. Substance Abuse Rehabilitation Facility 24662 El Camino Capistrano, Dana Point, CA 92629-3012 2017-04-18
1215468681 Ocean Hills Recovery, Inc Substance Abuse Rehabilitation Facility 33402 Palo Alto St, Dana Point, CA 92629-1435 2017-03-27
1831620202 Ocean Hills Recovery Inc. Substance Abuse Rehabilitation Facility 34062 Amber Lantern St, Dana Point, CA 92629-2522 2017-03-27
1699216903 Ocean Hills Recovery Inc. Substance Abuse Rehabilitation Facility 33701 Big Sur St, Dana Point, CA 92629-2011 2017-03-20
1922548452 Dana Point Rehab Campus Substance Abuse Rehabilitation Facility 33842 Orilla Rd, Dana Point, CA 92629 2017-03-02
Find all providers in DANA POINT

Competitor

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City DANA POINT
Zip Code 92629

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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