Alt Recovery Group 2 LLC
Organization Active NPI Methadone Clinic · Chatsworth, CA
NPI 1780198085 · NPPES record last updated Jul 14, 2025
Key facts
- NPI
- 1780198085
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- ALT RECOVERY GROUP 2 LLC
- Practice address
- 20946 Devonshire St Ste 100
Chatsworth, CA 91311-8270 - Phone
- (575) 993-5225
- Fax
- (575) 652-4163
- NPI assigned
- Nov 22, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Karla Chavez
- Title
- Billing Manager
- Phone
- (575) 993-5225
Practitioners 3
-
David De la Loza, MD
-
Michelle Marie King, RADT
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2164139 | Alt Recovery Group | Certificate of waiver | Mar 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200121000862 | CA | Part B Supplier - Opioid Treatment Program (Otp) | 9234564279 | Practice locations: Chatsworth, CA |
National Provider Directory
Locations
20946 Devonshire St
Ste 100
Chatsworth, CA 91311
Phone (575) 993-5225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | CA | Yes |
Addresses
Primary practice location
20946 Devonshire St Ste 100
Chatsworth, CA 91311-8270
Mailing address
20946 Devonshire St Ste 100
Chatsworth, CA 91311-8270
Phone (575) 993-5225
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.