OrganizationActive
Oc Teen Center LLC
NPI 1528650686 · Adolescent and Children Mental Health Clinic/Center · Costa Mesa, CA
Provider details
- NPI number
- 1528650686
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonah Bautista, Office Manager(714) 716-5044
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
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
3188 Airway Ave Ste L
Costa Mesa, CA 92626-4652
Phone: (800) 478-0233
Street-level locationGet directions
Mailing address
3188 Airway Ave Ste L
Costa Mesa, CA 92626-4652
Registry dates
- Enumerated
- 2021-02-09
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.