Active NPI
Recover Addiction Services Inc.
- Addiction Medicine (Family Medicine) Physician
- Del Mar, CA
National Provider Identifier
1053900100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.