Active NPI
Recovery Health Group, a Professional Corporation
- Addiction Psychiatry Physician
- Ca, CA
National Provider Identifier
1154887768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- Legal business name
- RECOVERY HEALTH GROUP, A PROFESSIONAL CORPORATION
- Practice address
- 8605 Santa Monica Blvd PMB 28031
West Hollywood
Ca, CA 90024-4112 - Phone
- (424) 240-8511
- Fax
- (866) 256-8741
- NPI assigned
- Feb 19, 2019
- 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
- Dr. Jeremy Martinez, M.D.
- Title
- President
- Phone
- (424) 256-8741
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Addiction Psychiatry Physician | 2084P0802X | Primary |
Addresses
Primary practice location
8605 Santa Monica Blvd PMB 28031
West Hollywood
Ca, CA 90024-4112
Mailing address
10880 Wilshire Blvd Ste 1101
Los Angeles, CA 90024-4112
Phone (424) 256-8741
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633564800000",
"number": "1154887768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10880 WILSHIRE BLVD STE 1101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244112",
"telephone_number": "424-256-8741",
"fax_number": "866-256-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8605 SANTA MONICA BLVD PMB 28031",
"address_2": "WEST HOLLYWOOD",
"city": "CA",
"state": "CA",
"postal_code": "900244112",
"telephone_number": "424-240-8511",
"fax_number": "866-256-8741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY HEALTH GROUP, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-19",
"last_updated": "2021-10-07",
"certification_date": "2021-09-23",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "424-256-8741",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.