Recovery Treatment Center

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

3613 Issued in CA

Legal business name

RECOVERY TREATMENT CENTER

Practice address

1583 Bradford St
Pomona, CA 91767-3909

Phone

(909) 625-3818

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roy Jones, LPT

Title

Nurse

Phone

(909) 625-3818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750507844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 BRADFORD ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673909",
            "telephone_number": "909-625-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 BRADFORD ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673909",
            "telephone_number": "909-625-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "909-625-3818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "3613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milagros Razo
• Sarah Fayleen Reaves, RADT
• Jacob Reaza
• Rebeca Rebollar
• Patrick Recendez
• David Leroy Redding, DO
• Jayapal Aragonda Reddy
• Mallu C Reddy, MD
• Meghana Reddy
• Maria Redinger

• Methadone Clinic in Pomona, CA
• Providers in Pomona, CA by specialty
• Methadone Clinic in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.