JD Recovery LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CDF00352123 Issued in CA

Legal business name

JD RECOVERY LLC

Practice address

2850 Pio Pico Dr
Carlsbad, CA 92008

Phone

(949) 359-5662

Fax

(949) 542-3878

NPI assigned

Jun 6, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Robert Crocker

Title

Ceo

Phone

(760) 822-6507

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carlsbad Health Services Doing business as

Locations

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1487146288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 PIO PICO DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081554",
            "telephone_number": "949-359-5662",
            "fax_number": "949-542-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 PIO PICO DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92008",
            "telephone_number": "949-359-5662",
            "fax_number": "949-542-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-822-6507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CDF00352123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2148485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlsbad Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Lee PHD Psychology, Inc.
• Fatemeh Javanmardi
• Alan John Javurek, LMFT
• Jbi Wellness, LLC
• JC USA, Inc.
• Laurie Jean Baptiste, NP
• Victoria Jeckel
• Jefferey Raunig MD Inc
• Collin Jefferson
• Jana Michele Jeltema, CCC-SLP

• Clinical Medical Laboratory in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.