Organization Active NPI

CRC Health Group

  • Case Management Agency
  • Chula Vista, CA
National Provider Identifier
1043465008
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CRC HEALTH GROUP
Practice address
1161 Third Avenue
Chula Vista, CA 91911
Phone
(619) 498-8260
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Mr. Edward Anthony Pizano Jr., B.A.
Title
Counselor
Phone
(619) 395-2197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1161 Third Avenue
Chula Vista, CA 91911

Mailing address

766 10TH St
Imperial Beach, CA 91932-2216
Phone (619) 395-2197

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1043465008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 10TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322216",
            "telephone_number": "619-395-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 THIRD AVENUE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91911",
            "telephone_number": "619-498-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "PIZANO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "619-395-2197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.