NPIMap

Organization Active NPI

Fred Brown'S Recovery Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Pedro, CA
National Provider Identifier
1083304372
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FRED BROWN'S RECOVERY SERVICES, INC.
Practice address
852 W 19TH St
San Pedro, CA 90731-5314
Phone
(310) 519-8723
Fax
(310) 519-1309
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Angelita Fernando
Title
Administrative Manager
Phone
(310) 519-8723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

852 W 19TH St
San Pedro, CA 90731-5314

Mailing address

PO Box 2743
San Pedro, CA 90731-0182
Phone (310) 519-8723

National Provider Directory

National Provider Directory
Tax ID family
Fred Brown'S Recovery Services13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1083304372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2743",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907310182",
            "telephone_number": "310-519-8723",
            "fax_number": "310-519-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 W 19TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315314",
            "telephone_number": "310-519-8723",
            "fax_number": "310-519-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED BROWN'S RECOVERY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "310-519-8723"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.