CRC Health Group

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

106470 Issued in CA

Legal business name

CRC HEALTH GROUP

Practice address

7020 Friars Rd
San Diego, CA 92108-1126

Phone

(619) 718-9890

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Sue Garrett, CCDN

Title

Clinic Director

Phone

(619) 718-9890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1942420138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 FRIARS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 FRIARS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081126",
            "telephone_number": "619-718-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "619-718-9890",
        "authorized_official_credential": "CCDN"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "106470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lauren Cray, PNP
• Jerome Crayton-Sherman II
• CRC Health
• CRC Health
• CRC Health Group
• CRC Health Group, Inc
• CRC Home Avenue Clinic
• Alexis Crea
• Christina Creamer
• Dylan C Creamer, ATC

• Licensed Vocational Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.