Organization Active NPI

West Side Recovery Inc

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1558023655
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WEST SIDE RECOVERY INC
Practice address
4241 Jutland Dr Ste 101
San Diego, CA 92117-3697
Phone
(619) 796-9611
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Brandon C Turner
Title
Owner
Phone
(619) 796-9611

Specialties & licenses 1

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

Addresses

Primary practice location

4241 Jutland Dr Ste 101
San Diego, CA 92117-3697

Mailing address

6808 Rockglen Ave
San Diego, CA 92111-4112
Phone (619) 796-9611

National Provider Directory

National Provider Directory

Locations

4241 Jutland Dr
Ste 101
San Diego, CA 92117
Phone (619) 796-9611

1010 Turquoise St
Ste 350
San Diego, CA 92109

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1558023655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 ROCKGLEN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114112",
            "telephone_number": "619-796-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 JUTLAND DR STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173697",
            "telephone_number": "619-796-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-796-9611"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "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 Nov 7, 2024; 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.