NPIMap

Organization Active NPI

Pacific Bay Recovery Inc

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1952892614
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PACIFIC BAY RECOVERY INC
Practice address
4095 Jackdaw St
San Diego, CA 92103
Phone
(619) 493-0436
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Josie Ramos
Title
HR Coordinator
Phone
(619) 592-8695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4095 Jackdaw St
San Diego, CA 92103

Mailing address

1501 5TH Ave Ste 200
San Diego, CA 92101-3224
Phone (619) 493-0436

Other practice location 1

4959 Cresita Dr
San Diego, CA 92115-2339
Phone (619) 493-0436

Other practice location 2

4971 Cresita Dr
San Diego, CA 92115-2339
Phone (619) 493-0436

National Provider Directory

National Provider Directory
Tax ID family
Pacific Bay Recovery Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1952892614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 5TH AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013224",
            "telephone_number": "619-493-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 JACKDAW ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-493-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4959 Cresita Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921152339",
            "country_code": "US",
            "telephone_number": "619-493-0436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4971 Cresita Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921152339",
            "country_code": "US",
            "telephone_number": "619-493-0436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC BAY RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_title_or_position": "HR COORDINATOR",
        "authorized_official_telephone_number": "619-592-8695"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.