Pacific Recovery Solutions

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PACIFIC RECOVERY SOLUTIONS

Practice address

7966 Beverly Blvd FL 2
Los Angeles, CA 90048-4511

Phone

(323) 475-9934

NPI assigned

Nov 10, 2016

Organization subpart

Yes

Parent organization

ELYSIAN HEALTHAs reported in NPPES

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

Authorized official

Name

Mr. Bradley Athens

Title

Cbo

Phone

(918) 804-7684

Specialties & licenses 1

Addresses

Other names 2

• Westwind Recovery Doing business as
• 3229 Hillock Drive Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

3229 Hillock Drive3 organizations share this tax ID, including this one

Part of

Elysian Health LLC

Other organizations with this tax ID 2

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

• Pacific Recovery Solutions

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
  • NPI 1215412879
  NPD tax ID
• Pacific Recovery Solutions

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1417432071
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Elysian Health LLC

  • Adult Mental Health Clinic/Center
  • Los Angeles, CA
  • NPI 1750122966
  NPPES parent name

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572739200000",
    "number": "1174065858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7966 BEVERLY BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484511",
            "telephone_number": "918-804-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7966 BEVERLY BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484511",
            "telephone_number": "323-475-9934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3235 Hillock Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900681427",
            "country_code": "US",
            "telephone_number": "323-745-0074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3229 Hillock Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90068",
            "country_code": "US",
            "telephone_number": "213-321-2193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC RECOVERY SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELYSIAN HEALTH",
        "enumeration_date": "2016-11-10",
        "last_updated": "2019-11-03",
        "status": "A",
        "authorized_official_last_name": "ATHENS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CBO",
        "authorized_official_telephone_number": "918-804-7684",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwind Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "3229 Hillock Drive",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "3229 Hillock Drive",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.