Organization Active NPI

La Jolla Recovery Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • La Jolla, CA
National Provider Identifier
1558600346
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LA JOLLA RECOVERY INC
Practice address
7632-7634 Herschel Ave
La Jolla, CA 92037-4403
Phone
(858) 877-3422
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Danny Simons
Title
Cfo
Phone
(858) 345-7926

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

7632-7634 Herschel Ave
La Jolla, CA 92037-4403

Mailing address

1804 Garnet Ave # 233
San Diego, CA 92109-3352
Phone (858) 877-3422

Other practice location 1

1804 Garnet Ave # 233
San Diego, CA 92109-3352
Phone (858) 877-3422

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1558600346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 GARNET AVE # 233",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093352",
            "telephone_number": "858-877-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632-7634 HERSCHEL AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374403",
            "telephone_number": "858-877-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1804 Garnet Ave # 233",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921093352",
            "country_code": "US",
            "telephone_number": "858-877-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA JOLLA RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "858-345-7926"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.