NPIMap

Organization Active NPI

Pacifica Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Palm Desert, CA
National Provider Identifier
1366936825
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
330027AP Issued in CA
Legal business name
PACIFICA RECOVERY, INC.
Practice address
74200 Fairway Dr
Palm Desert, CA 92260-4949
Phone
(760) 318-0626
NPI assigned
Jun 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Yogesh Desai
Title
Ceo
Phone
(769) 318-0626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 330027AP CA Primary

Addresses

Primary practice location

74200 Fairway Dr
Palm Desert, CA 92260-4949

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1366936825",
    "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": "750-318-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74200 FAIRWAY DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604949",
            "telephone_number": "760-318-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "YOGESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "769-318-0626"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330027AP",
            "primary": true
        }
    ],
    "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 Sep 2, 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.