Coastal Recovery Concepts Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COASTAL RECOVERY CONCEPTS INC

Practice address

3434 Grove St
Lemon Grove, CA 91945-1812

Phone

(619) 782-0211

NPI assigned

Apr 30, 2025

Last updated

May 6, 2025By 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

Roger Stellers

Title

Owner

Phone

(619) 782-0011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1871381509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 UNIVERSITY AVE STE 371",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 GROVE ST",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451812",
            "telephone_number": "619-782-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL RECOVERY CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "STELLERS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-782-0011"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Chambers
• Maria Rebecca Chavez
• Carlos Chee Campos
• Marie Hazel Chisom
• Diana Grace Cho
• Comfort Spine Equipment Inc
• James Corley, BS
• Jeanette Corpuz, LVN
• Gilberto Cota, MD
• Vicki Jean Cote, MHRS

• Community/Behavioral Health Agency in Lemon Grove, CA
• Providers in Lemon Grove, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.