Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Coastline Recovery LLC

Substance Use Disorder Rehabilitation Clinic/Center in Huntington Beach, CA · enumerated 2015 · authorized official Jason Jacobs, Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306217500

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Coastline Recovery LLC

Practice address 18377 Beach Blvd Ste 210, Huntington Beach, CA, 92648

Phone (949) 205-1065

Fax (714) 388-3844

Enumeration date Oct 13, 2015

Last updated in NPPES Mar 13, 2018

Taxonomy & classification

261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities · License 300630BP (CA) Secondary

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 300630BP (CA) Primary

Authorized official

Name Jason Jacobs

Title Vp of Operations

Phone (949) 345-5577

Other identifiers

Identifier	Type	State	Issuer
300630BP	Other	CA	DHCS CERTIFICATION
608177	Other	-	THE JOINT COMMISSION

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Coastline Recovery LLC located?

The practice location on file with NPPES is in Huntington Beach, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-03-13. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Gary Tucker Marriage & Family Therapist · Huntington Beach, CA NPI 1396248209 Crescent Moon Recovery, LLC Substance Use Disorder Rehabilitation Clinic/Center · Huntington Beach, CA NPI 1083200307

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-13.