Pacific Palms Recovery, LLC.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300273AP Issued in CA

Legal business name

PACIFIC PALMS RECOVERY, LLC.

Practice address

3551 Camino Mira Costa Ste T
San Clemente, CA 92672-3504

Phone

(949) 943-5188

Fax

(949) 542-8565

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Amy Christle

Title

VP/Ceo

Phone

(949) 943-5188

Specialties & licenses 1

Addresses

Tax ID family

Pacific Palms Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pacific Palms Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Oceanside, CA
  • NPI 1013456342
  NPD tax ID

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1679992853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 CAMINO MIRA COSTA STE T",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 CAMINO MIRA COSTA STE T",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723504",
            "telephone_number": "949-943-5188",
            "fax_number": "949-542-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PALMS RECOVERY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "CHRISTLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP/CEO",
        "authorized_official_telephone_number": "949-943-5188"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300273AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Clinics
• Pacific Coast Detox LLC
• Pacific Hills Treatment Centers, Inc.
• Pacific Medical California LLC (Apnea Medics)
• Pacific Medical LLC
• Pacific Sleep Lab Inc
• Pacific Sleep Labs, Inc.
• Pacificoast Ambulatory Surgicenter, LLC. (Pacific Coast Ambulatory Surgicenter)
• Khrystianne Morita Padua, ATC
• Maria Page, APCC

• Substance Abuse Rehabilitation Facility in San Clemente, CA
• Providers in San Clemente, 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 Apr 15, 2014; 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.