Pismo Beach Recovery Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PISMO BEACH RECOVERY INC

Practice address

330 James Way Ste 150
Pismo Beach, CA 93449-2879

Phone

(831) 245-7736

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Cheree Ashley

Title

Owner

Phone

(831) 245-7736

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Cheree Davila, RAS, CADC-CAS

  • Addiction (Substance Use Disorder) Counselor
  • Hollister, CA
  • NPI 1588045561
  NPD

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1215754650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1190",
            "city": "TRES PINOS",
            "state": "CA",
            "postal_code": "950751190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 JAMES WAY STE 150",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492879",
            "telephone_number": "831-245-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISMO BEACH RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "CHEREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-245-7736"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Eric Peterson, DC
• Kenneth A Peterson, OD
• Rachael Mary Elizabeth Pharr Larson, P.T.
• Physical Therapy Specialists PTS, Inc.
• Shahriar Pirouz, M.D.
• Pismo Family Practice Medical Corporation a Ca Prof Medical Corp (Pismo Family Practice)
• Praise Behavior Service Inc.
• Wendy Purviance
• Radiology Associates of San Luis Obispo (Five Cities Medical Imaging)
• Radiology Associates of San Luis Obispo (Coastal Diagnostic Center/Arroyo Grande Hospital)

• Substance Abuse Rehabilitation Facility in Pismo Beach, CA
• Providers in Pismo Beach, 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 Sep 25, 2024; 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.