Big Bear Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BIG BEAR RECOVERY CENTER

Practice address

16891 Alita Dr
Riverside, CA 92504-6209

Phone

(562) 685-5733

NPI assigned

Jan 16, 2013

Last updated

Jan 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesse Green

Title

Ceo

Phone

(562) 685-5733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1598002123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16891 ALITA DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925046209",
            "telephone_number": "562-685-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16891 ALITA DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925046209",
            "telephone_number": "562-685-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEAR RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-685-5733"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick Salazar Biala
• Shyanne Jena Bianchi, PHARM D
• Leah Bibler
• Kyrstye Bree Ann Bicera, RN, IBCLC
• Jeff Biddle, DOCTORATE
• Hayley Bigelow
• Kyle Bigos, RBT
• Jeffrey J. Bilhorn, CRNA
• Darwin Billingsley
• Belinda Diane Bills

• Substance Abuse Rehabilitation Facility in Riverside, CA
• Providers in Riverside, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.