Active NPI
La Jolla Recovery Inc
- Substance Abuse Rehabilitation Facility
- San Diego, CA
National Provider Identifier
1689268294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- LA JOLLA RECOVERY INC
- Practice address
- 1446, 1448 & 1450 Diamond St
San Diego, CA 92109-3023 - Phone
- (858) 877-3422
- NPI assigned
- Feb 24, 2021
- Last updated
- Feb 24, 2021
- Organization subpart
- Yes
- Parent organization
- LA JOLLA RECOVERY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Simons
- Title
- Ceo
- Phone
- (858) 877-3422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
1446, 1448 & 1450 Diamond St
San Diego, CA 92109-3023
Mailing address
1804 Garnet Ave # 233
San Diego, CA 92109-3352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370159DP | Other | CA | DHCS |
National Provider Directory
National Provider Directory- Tax ID family
- La Jolla Recovery Inc
- Part of
- La Jolla Recovery Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba La Jolla Recovery
- Substance Abuse Rehabilitation Facility
- La Jolla, CA
- NPI 1174187017
-
- Substance Abuse Rehabilitation Facility
- San Diego, CA
- NPI 1619531530
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- La Jolla, CA
- NPI 1558600346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614124800000",
"number": "1689268294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 GARNET AVE # 233",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1446, 1448 & 1450 DIAMOND ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093023",
"telephone_number": "858-877-3422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA JOLLA RECOVERY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LA JOLLA RECOVERY",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-04",
"status": "A",
"authorized_official_last_name": "SIMONS",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "858-877-3422"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHCS",
"identifier": "370159DP",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- La Jolla Orthopedics & Pain Management Center, Inc.
- La Jolla Professional Plastic Surgery
- La Jolla Psychiatric Associates
- La Jolla Radiology Medical Group - Diagnosis, Inc.
- La Jolla Recovery Inc
- La Jolla Rehab LLC
- La Jolla Skilled LLC (The Springs at Pacific Regent La Jolla)
- La Jolla Spine Institute Medical Group, Inc. (Spine Institute of San Diego)
- La Jolla Surgery Center
- Luis A La Luz, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.