NPIMap

Organization Active NPI

Fred Brown'S Recovery Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Pedro, CA
National Provider Identifier
1104257369
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
190135MN Issued in CA
Legal business name
FRED BROWN'S RECOVERY SERVICES, INC.
Practice address
270 W 14TH St # 3
San Pedro, CA 90731-4315
Phone
(310) 519-8723
Fax
(310) 519-9428
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Ms. Roxanna Natale-Brown, LAADCNR, CADCII, SAP
Title
Executive Director
Phone
(310) 519-8723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 190135MN CA Primary

Addresses

Primary practice location

270 W 14TH St # 3
San Pedro, CA 90731-4315

Mailing address

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

Other names 1

  • Fred Brown Recovery Services Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1104257369",
    "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": "310-519-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W 14TH ST # 3",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314315",
            "telephone_number": "310-519-8723",
            "fax_number": "310-519-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED BROWN'S RECOVERY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "NATALE-BROWN",
        "authorized_official_first_name": "ROXANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-519-8723",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAADCNR, CADCII, SAP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "190135MN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred Brown Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 8, 2022; 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.