NPIMap

Organization Active NPI

San Fernando Recovery Center

  • Substance Abuse Rehabilitation Facility
  • San Fernando, CA
National Provider Identifier
1164980603
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SAN FERNANDO RECOVERY CENTER
Practice address
762 Griswold Ave
San Fernando, CA 91340-2105
Phone
(747) 500-9405
NPI assigned
Mar 4, 2019
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Jose Martinez
Title
Director
Phone
(818) 809-8868

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

762 Griswold Ave
San Fernando, CA 91340-2105

Mailing address

762 Griswold Ave
San Fernando, CA 91340-2105
Phone (747) 500-9405

Other practice location 1

732 Griswold Ave
San Fernando, CA 91340-2105
Phone (747) 500-9405

Other practice location 2

1024 N Maclay Ave
Unit G, N
San Fernando, CA 91340-1361
Phone (747) 500-9405

Other practice location 3

734 Griswold Ave
San Fernando, CA 91340-2105
Phone (747) 500-9405

National Provider Directory

National Provider Directory
Tax ID family
San Fernando Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1164980603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 GRISWOLD AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402105",
            "telephone_number": "747-500-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 GRISWOLD AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402105",
            "telephone_number": "747-500-9405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "732 Griswold Ave",
            "address_purpose": "LOCATION",
            "city": "San Fernando",
            "state": "CA",
            "postal_code": "913402105",
            "country_code": "US",
            "telephone_number": "747-500-9405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1024 N Maclay Ave",
            "address_2": "Unit G, N",
            "address_purpose": "LOCATION",
            "city": "San Fernando",
            "state": "CA",
            "postal_code": "913401361",
            "country_code": "US",
            "telephone_number": "747-500-9405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "734 Griswold Ave",
            "address_purpose": "LOCATION",
            "city": "San Fernando",
            "state": "CA",
            "postal_code": "913402105",
            "country_code": "US",
            "telephone_number": "747-500-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN FERNANDO RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-809-8868"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.