MIRA COAST BEHAVIORAL (NPI# 1598370710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598370710 |
| Entity Type | Organization |
| Organization Name | MIRA COAST BEHAVIORAL |
| Practice Address |
3140 Red Hill Ave Costa Mesa CA 92626-3400 |
| Practice Telephone | 9493358802 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | MS. INDIGO ALLENDORF (DIRECTOR) |
| Authorized Official Telephone | 9493358802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
3140 RED HILL AVE |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962502518 | Brian Kenneth Gerbode | Chiropractor | 3140 Red Hill Ave, Suite 120, Costa Mesa, CA 92626-3400 | 2006-09-24 |
| 1326426826 | Tabrizi Family Chiropractic, PC | Chiropractor | 3140 Red Hill Ave, Suite 100, Costa Mesa, CA 92626-3400 | 2015-05-15 |
| 1487919304 | Ghazaleh Tabrizi | Chiropractor | 3140 Red Hill Ave, Suite 100, Costa Mesa, CA 92626-3400 | 2012-07-06 |
| 1689813214 | Sidney Mirrafati | Plastic Surgery | 3140 Red Hill Ave, Suite 150, Costa Mesa, CA 92626-3400 | 2009-02-04 |
| 1497830186 | Craig Raymond Clark | Chiropractor | 3140 Red Hill Ave, #120, Costa Mesa, CA 92626-3400 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518429612 | Hotel California By The Sea, LLC | Clinic/Center | 230 E 17th St Ste 201, Costa Mesa, CA 92627-3891 | 2019-04-05 |
| 1427411727 | Akua Behavioral Health, Inc | Clinic/Center | 373 Ralcam Pl, Costa Mesa, CA 92627-1909 | 2016-04-04 |
| 1619330909 | Akua Behavioral Health, Inc | Clinic/Center | 324 University Dr, Costa Mesa, CA 92627-1440 | 2016-04-04 |
| 1730226499 | County of Orange | Clinic/Center | 2801 Bristol St., 2nd Floor, Costa Mesa, CA 92626-5996 | 2007-01-31 |
| 1275150419 | Golden Coast Psychology Center | Clinic/Center | 3151 Airway Ave Ste A2, Costa Mesa, CA 92626-4620 | 2020-07-04 |
| 1205488533 | Arena Therapy Services, LLC | Clinic/Center | 2488 Newport Blvd, Costa Mesa, CA 92627-5196 | 2019-07-16 |
| 1063964476 | Carol J Timmons | Clinic/Center | 2900 Bristol St, Bldg. J-206, Costa Mesa, CA 92626-5981 | 2016-11-02 |
| 1053704569 | Hired Power Transitional Living Center | Clinic/Center | 3151 Airway Ave Ste F107, Costa Mesa, CA 92626-4623 | 2015-03-08 |
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| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on MIRA COAST BEHAVIORAL.
| 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.