Pacific Palms Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

370160AP Issued in CA

Legal business name

PACIFIC PALMS RECOVERY LLC

Practice address

2215 Mesa Dr
Oceanside, CA 92054-3707

Phone

(949) 842-6007

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Ryan Schrier

Title

Owner

Phone

(949) 542-0894

Specialties & licenses 1

Addresses

Tax ID family

Pacific Palms Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Palms Recovery, LLC.

  • Substance Abuse Rehabilitation Facility
  • San Clemente, CA
  • NPI 1679992853
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesus Magana, CADCII

  • Addiction (Substance Use Disorder) Counselor
  • Oceanside, CA
  • NPI 1073189437
  NPD (past)

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1013456342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 CAMINO MIRA COSTA",
            "address_2": "SUITE T",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 MESA DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543707",
            "telephone_number": "949-842-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PALMS RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "SCHRIER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-542-0894"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370160AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Ownbey
• Lawrence James Yaw Owusu, PAC
• Brett Ozga, CPSS
• Pacific Breeze Home Care, Inc.
• Pacific Coast Medical Supply, LLC
• Pacific Senior Group
• Pacific Sleep Medicine a Medical Corporation
• Pacific Sleep Medicine Services, Inc
• Jose Carlo B Padal, OTR/L
• Stephani Paddack, NP

• Substance Abuse Rehabilitation Facility in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.