Pacific Beach Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PACIFIC BEACH RECOVERY

Practice address

2056 Oliver Ave
San Diego, CA 92109-5537

Phone

(858) 877-3422

NPI assigned

Jun 3, 2025

Organization subpart

No

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

Authorized official

Name

Daniel Simons

Title

President

Phone

(858) 877-3422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1356234751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 FAY AVE # H205",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 OLIVER AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095537",
            "telephone_number": "858-877-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BEACH RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-877-3422"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Bay Recovery Inc
• Pacific Bay Recovery Inc
• Pacific Bay Recovery Inc
• Pacific Beach Health, LLC
• Pacific Beach Marriage and Family Counseling, Inc.
• Pacific Beach Scooters, LLC
• Pacific Beach Therapy Solutions
• Pacific Center of Health and Acupuncture, Inc.
• Pacific Clinics
• Pacific Coast Healthcare

• Substance Use Disorder Rehabilitation Clinic/Center in San Diego, CA
• Providers in San Diego, 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 Jun 3, 2025; 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.