NPIMap

Organization Active NPI

Fred Brown'S Recovery Services, Inc.

  • Case Management Agency
  • San Pedro, CA
National Provider Identifier
1700535762
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FRED BROWN'S RECOVERY SERVICES, INC.
Practice address
505 Pacific Ave
103-106 & 205-206
San Pedro, CA 90731-2656
Phone
(310) 519-8723
Fax
(310) 519-1309
NPI assigned
Mar 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Angelita Fernando
Title
Administrative Manager
Phone
(310) 519-8723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

505 Pacific Ave
103-106 & 205-206
San Pedro, CA 90731-2656

Mailing address

PO Box 2743
San Pedro, CA 90731-0182
Phone (310) 519-8723

National Provider Directory

National Provider Directory
Tax ID family
Fred Brown'S Recovery Services13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

505 N Pacific Ave
#103106
San Pedro, CA 90731

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1700535762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2743",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907310182",
            "telephone_number": "310-519-8723",
            "fax_number": "310-519-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PACIFIC AVE",
            "address_2": "103-106 & 205-206",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312656",
            "telephone_number": "310-519-8723",
            "fax_number": "310-519-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED BROWN'S RECOVERY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "310-519-8723"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.