NPIMap

Organization Active NPI

Sacramento Recovery House, Inc.

Doing business as Gateway House

  • Substance Abuse Rehabilitation Facility
  • Sacramento, CA
National Provider Identifier
1366852147
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
C340020 Issued in CA
Legal business name
SACRAMENTO RECOVERY HOUSE, INC.
Doing business as
Gateway House
Practice address
4049 Miller Way
Sacramento, CA 95817-1332
Phone
(916) 451-9312
Fax
(916) 451-4018
NPI assigned
May 2, 2014
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Dr. Bobby J Davis, PSYD, LADAACNPI 1801092309
Title
Executive Director
Phone
(916) 759-0902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X C340020 CA Primary

Addresses

Primary practice location

4049 Miller Way
Sacramento, CA 95817-1332

Mailing address

4049 Miller Way
Sacramento, CA 95817-1332
Phone (916) 451-9312

Other names 1

  • Gateway House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sacramento Recovery House Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4049 Miller Way
Sacramento, CA 95817
Phone (916) 451-9312

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1366852147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 MILLER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171332",
            "telephone_number": "916-451-9312",
            "fax_number": "916-451-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 MILLER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171332",
            "telephone_number": "916-451-9312",
            "fax_number": "916-451-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO RECOVERY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-759-0902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LADAAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "C340020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.