OrganizationActive
Beachside Recovery LLC
NPI 1962880914 · Substance Abuse Rehabilitation Facility · Dana Point, CA
Provider details
- NPI number
- 1962880914
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Darryle Mackelvey, Supervisor(949) 430-2874
- License
- 300315AP (CA)
Specialties & taxonomies
Residential Treatment Facilities
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
24662 Santa Clara Ave
Dana Point, CA 92629-3026
Phone: (949) 393-4070
Street-level locationGet directions
Mailing address
Po Box 511330
Los Angeles, CA 90051-7885
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2015-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.