JRV Recovery,Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

JRV RECOVERY,INC.

Practice address

33171 Paseo Cerveza Ste 110
San Juan Capistrano, CA 92675-4824

Phone

(949) 701-1959

NPI assigned

Dec 10, 2021

Last updated

Sep 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter M Gates

Title

Ceo

Phone

(949) 701-1959

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1316606957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27281 LAS RAMBLAS STE 140",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916387",
            "telephone_number": "949-701-1959",
            "fax_number": "949-258-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33171 PASEO CERVEZA STE 110",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754824",
            "telephone_number": "949-701-1959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27281 Las Ramblas Ste 140",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916387",
            "country_code": "US",
            "telephone_number": "949-701-1959",
            "fax_number": "949-258-5510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JRV RECOVERY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-701-1959"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Jones, PHN
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• Joseph G. Heinrich, O.D., a.P.C.
• Joseph K. Kikumoto, O.D.
• Joseph K. Kikumoto, O.D., an Optometric Corporation
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• Kelly Kaban, DDS
• Lawrence Kaban, D.D.S.
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy No 391)
• Rahul Madhav Kale, MD

• Substance Use Disorder Rehabilitation Clinic/Center in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 Sep 10, 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.