NPIMap

Organization Active NPI

Pacifica Recovery Inc

  • Community/Behavioral Health Agency
  • Palm Desert, CA
National Provider Identifier
1306456926
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PACIFICA RECOVERY INC
Practice address
74050 Alessandro Dr Ste B
Palm Desert, CA 92260-3705
Phone
(760) 318-0626
Fax
(760) 318-0610
NPI assigned
Aug 7, 2020
Last updated
Aug 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

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

Authorized official

Name
Mr. Yogesh Desai
Title
Ceo
Phone
(760) 318-0626

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

74050 Alessandro Dr Ste B
Palm Desert, CA 92260-3705

Mailing address

280 E Mel Ave
Palm Springs, CA 92262-4817
Phone (760) 318-0626

National Provider Directory

National Provider Directory
Tax ID family
Pacifica Recovery Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

74050 Alessandro Dr
Ste B
Palm Desert, CA 92260
Phone (760) 318-0626

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596844800000",
    "number": "1306456926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 E MEL AVE",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624817",
            "telephone_number": "760-318-0626",
            "fax_number": "760-318-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74050 ALESSANDRO DR STE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603705",
            "telephone_number": "760-318-0626",
            "fax_number": "760-318-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "YOGESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-318-0626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.