Organization Active NPI

Recover Addiction Services Inc.

  • Addiction Medicine (Family Medicine) Physician
  • Del Mar, CA
National Provider Identifier
1053900100
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
RECOVER ADDICTION SERVICES INC.
Practice address
1155 Camino del Mar Ste 465
Del Mar, CA 92014-2605
Phone
(760) 815-8546
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Nicholas David Gulino
Title
Ceo
Phone
(858) 208-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

1155 Camino del Mar Ste 465
Del Mar, CA 92014-2605

Mailing address

1155 Camino del Mar Ste 465
Del Mar, CA 92014-2605
Phone (760) 815-8546

Other names 1

  • Recover Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1053900100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CAMINO DEL MAR STE 465",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142605",
            "telephone_number": "760-815-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 CAMINO DEL MAR STE 465",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142605",
            "telephone_number": "760-815-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVER ADDICTION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "GULINO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-208-0121"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recover",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Recover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.