NPIMap

Organization Active NPI

Recover Medical Group PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Moreno Valley, CA
National Provider Identifier
1053281881
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
RECOVER MEDICAL GROUP PC
Practice address
24760 Sunnymead Blvd Ste 108
Moreno Valley, CA 92553-3791
Phone
(858) 208-0121
NPI assigned
Nov 6, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
RECOVER MEDICAL GROUP PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Nicholas Gulino
Title
Administrator
Phone
(760) 815-8546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X Primary

Addresses

Primary practice location

24760 Sunnymead Blvd Ste 108
Moreno Valley, CA 92553-3791

Mailing address

120 Birmingham Dr Ste 240a
Cardiff, CA 92007-1757

National Provider Directory

National Provider Directory
Tax ID family
Recover Medical Group PC8 organizations share this tax ID, including this one
Part of
Recover Medical Group PC

Other organizations with this tax ID 7

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

Locations

24760 Sunnymead Blvd
Ste 108
Moreno Valley, CA 92553

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1053281881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BIRMINGHAM DR STE 240A",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24760 SUNNYMEAD BLVD STE 108",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533791",
            "telephone_number": "858-208-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVER MEDICAL GROUP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECOVER MEDICAL GROUP PC",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "GULINO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-815-8546"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.