NPIMap

Organization Active NPI

Pacific Bay Recovery Inc

  • Substance Abuse Rehabilitation Facility
  • Jamul, CA
National Provider Identifier
1609599737
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PACIFIC BAY RECOVERY INC
Doing business as
Pacific Bay Recovery INC
Practice address
13518 Jamul Dr
Jamul, CA 91935-1635
Phone
(619) 220-9099
NPI assigned
Sep 23, 2022
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Francisca Valdez
Title
Billing Manager
Phone
(619) 288-5899

Specialties & licenses 1

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

Addresses

Primary practice location

13518 Jamul Dr
Jamul, CA 91935-1635

Mailing address

1501 5TH Ave Ste 200
San Diego, CA 92101-3224
Phone (619) 220-9099

Other names 1

  • Pacific Bay Recovery INC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Meditouch

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2308220Pacific Bay Recovery Inc13518 Jamul Drive, Jamul, CA 91935Certificate of waiverJul 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pacific Bay Recovery Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1609599737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 5TH AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013224",
            "telephone_number": "619-220-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13518 JAMUL DR",
            "city": "JAMUL",
            "state": "CA",
            "postal_code": "919351635",
            "telephone_number": "619-220-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BAY RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "FRANCISCA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "619-288-5899"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Meditouch",
            "affiliation": "N",
            "address_1": "13518 Jamul Dr",
            "city": "Jamul",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919351635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pacific Bay Recovery INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamul, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.