Organization Active NPI

Central North Regional Recovery Center

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
National Provider Identifier
1730303538
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CENTRAL NORTH REGIONAL RECOVERY CENTER
Practice address
6693 Convoy CT
San Diego, CA 92111-1008
Phone
(858) 505-0882
Fax
(858) 505-9349
NPI assigned
Apr 12, 2007
Last updated
Aug 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Mrs. Adrienne Michelle Altamirano
Title
Substance Abuse Counselor
Phone
(858) 505-0228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

6693 Convoy CT
San Diego, CA 92111-1008

Mailing address

3196 Larkdale Way
San Diego, CA 92123-2005
Phone (858) 565-4026

National Provider Directory

National Provider Directory

Locations

6693 Convoy Ct
San Diego, CA 92111
Phone (858) 505-0228

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1730303538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 LARKDALE WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232005",
            "telephone_number": "858-565-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6693 CONVOY CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111008",
            "telephone_number": "858-505-0882",
            "fax_number": "858-505-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NORTH REGIONAL RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "ALTAMIRANO",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "858-505-0228",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.