OCEANROCK LLC NPI 1073142907

NPI Information

NPI: 1073142907
Provider Name: OCEANROCK, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Doing Business As: OCEANROCK RECOVERY
CLIA Number: 05D2275940
Address: 1100 QUAIL STREET
SUITE 205
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 979-6866

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NPI Details

OCEANROCK, LLC is a community behavioral health in Newport Beach, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. OCEANROCK, LLC NPI is 1073142907. The provider is registered as an organization entity type.
The provider Is Doing Business As Oceanrock Recovery.

The provider's business location address is:

1100 QUAIL STREET
SUITE 205
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 979-6866

The provider's authorized official is Tahamtan Nematbakhsh .
The authorized official title is Ceo and has the following contact phone number (949) 375-5541.

The CLIA number assigned to this NPI record is 05D2275940 - other - behav health facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2020 and was last updated on 7/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300428AP	OTHER	CALIFORNIA	DEPARTMENT OF HEALTH CARE SERVICES (DHCS)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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