Organization Active NPI

CRC Health Group

  • Methadone Clinic
  • San Marcos, CA
National Provider Identifier
1679862452
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
CRC HEALTH GROUP
Practice address
1560 Capalina Rd
San Marcos, CA 92069-1288
Phone
(760) 744-2104
Fax
(760) 744-1382
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Mrs. Marsha C Bernstein, MSW CADCII CAS
Title
Clinical Supervisor
Phone
(760) 744-2104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

1560 Capalina Rd
San Marcos, CA 92069-1288

Mailing address

1560 Capalina Rd
San Marcos, CA 92069-1288
Phone (760) 744-2104

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1679862452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 CAPALINA RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691288",
            "telephone_number": "760-744-2104",
            "fax_number": "760-744-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 CAPALINA RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691288",
            "telephone_number": "760-744-2104",
            "fax_number": "760-744-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "760-744-2104",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW CADCII CAS"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.