Organization Active NPI

Recoveryworks

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1497206320
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
370144AP Issued in CA
Legal business name
RECOVERYWORKS
Practice address
9820 Willow Creek Rd
Suite 295
San Diego, CA 92131-1112
Phone
(858) 530-9112
Fax
(858) 530-9118
NPI assigned
Oct 14, 2016
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Dr. Clark E Smith, M.D.NPI 1518049212
Title
President/Medical Director
Phone
(858) 530-9112

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 370144AP CA Primary

Addresses

Primary practice location

9820 Willow Creek Rd
Suite 295
San Diego, CA 92131-1112

Mailing address

9820 Willow Creek Rd
Suite 295
San Diego, CA 92131-1112
Phone (858) 530-9112

National Provider Directory

National Provider Directory

Locations

9820 Willow Creek Rd
Ste 295
San Diego, CA 92131
Phone (858) 530-9112

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": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1497206320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 WILLOW CREEK RD",
            "address_2": "SUITE 295",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311112",
            "telephone_number": "858-530-9112",
            "fax_number": "858-530-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 WILLOW CREEK RD",
            "address_2": "SUITE 295",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311112",
            "telephone_number": "858-530-9112",
            "fax_number": "858-530-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERYWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-530-9112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370144AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.