California Coastal Recovery Centers

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CALIFORNIA COASTAL RECOVERY CENTERS

Practice address

2236 Encinitas Blvd Ste Defgh
Encinitas, CA 92024-4352

Phone

(858) 342-9151

NPI assigned

May 17, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Wesley Heim

Title

Program Administrator

Phone

(858) 342-9151

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Immersive Recovery Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandi Danae Ducote, LMFT, LAADC-CA, SEP

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1427392182
  NPD

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1609303924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 ENCINITAS BLVD STE D",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244375",
            "telephone_number": "858-342-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 ENCINITAS BLVD STE DEFGH",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244352",
            "telephone_number": "858-342-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA COASTAL RECOVERY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "HEIM",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "858-342-9151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATION",
            "identifier": "370169AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immersive Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Byram, L. AC.
• Ca Medical Group-Da, PC
• James Michael Cafferty, LMFT, CATC
• Michael Caisse, D.P.T.
• California Cancer Associates for Research and Excellence Inc
• California Dermatology & Clinical Research Institute
• California Grief Therapy Center Inc.
• California Holistic Psychiatry Corp
• Shannon Caligiuri
• Cynthia R Cambero, CMT

• Substance Use Disorder Rehabilitation Clinic/Center in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.