Pacific Recovery Solutions

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PACIFIC RECOVERY SOLUTIONS

Practice address

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

Phone

(918) 804-7684

NPI assigned

Sep 30, 2018

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

Justin White

Title

Ceo

Phone

(310) 892-6295

Specialties & licenses 2

Addresses

Other names 2

• Westwind Recovery Doing business as
• 7966 Beverly Blvd., Suite 200 Other name

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 Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1174065858
  NPD tax ID
• Pacific Recovery Solutions

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

Locations

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": "1538265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1215412879",
    "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": "918-804-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RECOVERY SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELYSIAN HEALTH",
        "enumeration_date": "2018-09-30",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-892-6295"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwind Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "7966 Beverly Blvd., Suite 200",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "7966 Beverly Blvd., Suite 200",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pacific Ocean Medical Clinic
• Pacific Orthopaedic Institute
• Pacific Orthopedic and Rehabilitation Medical Center, Inc.
• Pacific Pain Control Clinic
• Pacific Recovery Solutions
• Pacific Recovery Solutions
• Pacific Rejuvenation Medical, a Professional Corp.
• Pacific Rim Electrophysiology Medical GRP, Inc.
• Pacific Senior Medical Group
• Pacific Sleep Medicine Services, Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

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