Immersive Wellness Centers, LLC
NPI 1104408780 · Substance Use Disorder Rehabilitation Clinic/Center · San Clemente, CA
Immersive Wellness Centers, LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in San Clemente, CA (NPI 1104408780).
Provider details
- NPI number
- 1104408780
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Mcmahon, Coo(619) 871-7345
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Immersive Wellness Centers
Registry dates
- Enumerated
- 2021-04-23
- Last updated
- 2021-04-23
- Certified
- 2021-03-30
Frequently asked questions
- What is Immersive Wellness Centers, LLC's NPI number?
- Immersive Wellness Centers, LLC's National Provider Identifier (NPI) is 1104408780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Immersive Wellness Centers, LLC?
- Immersive Wellness Centers, LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Immersive Wellness Centers, LLC located?
- Immersive Wellness Centers, LLC's practice location on file with NPPES is 120 Cristianitos Road, San Clemente, CA 92673.
- What is Immersive Wellness Centers, LLC's phone number?
- The practice phone number listed in the NPPES registry for Immersive Wellness Centers, LLC is (619) 871-7345.
- Who is the authorized official for Immersive Wellness Centers, LLC?
- The authorized official listed on Immersive Wellness Centers, LLC's NPPES record is Angela Mcmahon, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Immersive Wellness Centers, LLC's NPI active?
- Yes — Immersive Wellness Centers, LLC's NPI (1104408780) is active in the NPPES registry as of the last update on 2021-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.