Spencer Recovery Centers, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300088AP Issued in CA

Legal business name

SPENCER RECOVERY CENTERS, INC.

Practice address

1316 S Coast Hwy
Laguna Beach, CA 92651-3118

Phone

(800) 334-0394

Fax

(949) 313-5222

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Cindy Salo Garcia

Title

Coo

Phone

(949) 313-5240

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dariana Aguilera Sanchez

  • Licensed Vocational Nurse
  • Laguna Beach, CA
  • NPI 1063191179
  NPD (past)
• Richard Steven Donohoo, R1498660223

  • Addiction (Substance Use Disorder) Counselor
  • Laguna Beach, CA
  • NPI 1962189654
  NPD (past)
• Nancy Hernandez Alvarez

  • Licensed Vocational Nurse
  • Laguna Beach, CA
  • NPI 1629759287
  NPD (past)
• Jennifer Lebost

  • Addiction (Substance Use Disorder) Registered Nurse
  • Laguna Beach, CA
  • NPI 1497432041
  NPD (past)
• Daleen McWilliams

  • Addiction (Substance Use Disorder) Counselor
  • Laguna Hills, CA
  • NPI 1497432132
  NPD (past)
• Aden Hailey Welle

  • Addiction (Substance Use Disorder) Registered Nurse
  • Laguna Beach, CA
  • NPI 1871270512
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1831284843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9296",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926527261",
            "telephone_number": "800-334-0394",
            "fax_number": "949-313-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513118",
            "telephone_number": "800-334-0394",
            "fax_number": "949-313-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1276 N Palm Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624411",
            "country_code": "US",
            "telephone_number": "800-334-0394",
            "fax_number": "949-313-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1404 N Palm Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624408",
            "country_code": "US",
            "telephone_number": "800-334-0394",
            "fax_number": "949-313-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "665 Camino De Los Mares Ste 105C",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926732859",
            "country_code": "US",
            "telephone_number": "800-334-0394",
            "fax_number": "949-313-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPENCER RECOVERY CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "SALO GARCIA",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-313-5240"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300088AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ60436Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Coast Medical Center
• South Coast Medical Center
• South Coast Urogynecology Inc
• South Coast Urogynecology Inc
• Southern California Mobile X-Ray, LLC.
• SS Bederman MD Inc a Professional Medical Corporation
• Ruth Stafford, PHD
• Jennifer Susan Starlight Rojas, LMFT
• Viviane Stein, DDS
• Richard B. Sterling, D.D.S.

• Substance Abuse Rehabilitation Facility in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.