Recovery Road Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

959161 Issued in CA

Legal business name

RECOVERY ROAD MEDICAL CENTER

Practice address

1602 State Street
Santa Barbara, CA 93101-2520

Phone

(805) 962-7800

Fax

(805) 962-9002

NPI assigned

Feb 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Wilma Calder

Title

Billing MGR

Phone

(707) 246-9585

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1013050814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3770",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931303770",
            "telephone_number": "805-962-7800",
            "fax_number": "805-962-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 STATE STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012520",
            "telephone_number": "805-962-7800",
            "fax_number": "805-962-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY ROAD MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "CALDER",
        "authorized_official_first_name": "WILMA",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "707-246-9585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "959161",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "420034AP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Michael Rebhun, MD
• Camdyn Rose Rechenmacher
• Laurie Lissette Recinos Gomez, MFT
• Joselin Alicia Recinos
• Marissa Record
• Recovery Santa Barbara, Inc.
• Recovery SB
• Andre Fahamivu Redick
• Hamid Reza Redjal, M.D.
• Sharise Michelle Redmond, PHARMD

• General Practice Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.