Pacifica Recovery Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

330027AP Issued in CA

Legal business name

PACIFICA RECOVERY INC

Practice address

280 E Mel Ave
Palm Springs, CA 92262-4817

Phone

(769) 318-0626

Fax

(760) 318-0610

NPI assigned

Jun 18, 2018

Last updated

Sep 2, 2020By 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

Yogesh Desai

Title

Ceo

Phone

(760) 318-0626

Specialties & licenses 7

Addresses

Tax ID family

Pacifica Recovery Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Pacifica Recovery Inc

  • Community/Behavioral Health Agency
  • Palm Desert, CA
  • NPI 1306456926
  NPD tax ID
• Pacifica Recovery, Inc.

  • Adult Mental Health Clinic/Center
  • Claremont, CA
  • NPI 1154479517
  NPD tax ID
• Pacifica Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Palm Desert, CA
  • NPI 1366936825
  NPD tax ID
• Pacifica Recovery, Inc.

  • Mental Health Counselor
  • Claremont, CA
  • NPI 1487793915
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Anderson, CADC-CS, ICCS, ICADC

  • Addiction (Substance Use Disorder) Counselor
  • Palm Springs, CA
  • NPI 1891151015
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1639663230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 E MEL AVE",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624817",
            "telephone_number": "760-318-0626",
            "fax_number": "760-318-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E MEL AVE",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624817",
            "telephone_number": "769-318-0626",
            "fax_number": "760-318-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 E Mel Ave",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624817",
            "country_code": "US",
            "telephone_number": "760-318-0626",
            "fax_number": "760-318-0610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74200 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922604949",
            "country_code": "US",
            "telephone_number": "760-318-0626",
            "fax_number": "760-318-0610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S Palm Canyon Dr Ste A203",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922647210",
            "country_code": "US",
            "telephone_number": "760-318-0626",
            "fax_number": "760-318-0610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFICA RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "YOGESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-318-0626"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330027BP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330027AP",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pacific Sleep Medicine Services, Inc (CardioSom)
• Pacifica SL Palm Springs LLC (Cottages at Palm Springs)
• Lilia Margarita Pacini, M.D.
• Christina Lisa Padilla
• Jessica Breanne Padilla
• Christine Dominique Padillo, PHARMD

• Substance Abuse Rehabilitation Facility in Palm Springs, CA
• Providers in Palm Springs, 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 Sep 2, 2020; 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.