OrganizationActive
Clean & Sober Living Corp
NPI 1477943496 · Clinical Medical Laboratory · Costa Mesa, CA
Clean & Sober Living Corp is a Clinical Medical Laboratory organization in Costa Mesa, CA (NPI 1477943496).
Provider details
- NPI number
- 1477943496
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Cheryl Gwartney, Cfo(949) 278-2843
Specialties & taxonomies
Laboratories
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
260 Victoria St Apt C1
Costa Mesa, CA 92627-6002
Phone: (949) 836-8779
Street-level locationGet directions
Mailing address
23665 Birtcher Dr
Lake Forest, CA 92630-1770
Registry dates
- Enumerated
- 2015-01-29
- Last updated
- 2015-01-29
Frequently asked questions
- What is Clean & Sober Living Corp's NPI number?
- Clean & Sober Living Corp's National Provider Identifier (NPI) is 1477943496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clean & Sober Living Corp?
- Clean & Sober Living Corp is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Clean & Sober Living Corp located?
- Clean & Sober Living Corp's practice location on file with NPPES is 260 Victoria St Apt C1, Costa Mesa, CA 92627-6002.
- What is Clean & Sober Living Corp's phone number?
- The practice phone number listed in the NPPES registry for Clean & Sober Living Corp is (949) 836-8779.
- Who is the authorized official for Clean & Sober Living Corp?
- The authorized official listed on Clean & Sober Living Corp's NPPES record is Cheryl Gwartney, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clean & Sober Living Corp's NPI active?
- Yes — Clean & Sober Living Corp's NPI (1477943496) is active in the NPPES registry as of the last update on 2015-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.