SOUTHERN CALIFORNIA RECOVERY CENTERS OCEANSIDE LLC (NPI# 1386159945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386159945 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA RECOVERY CENTERS OCEANSIDE LLC |
| Practice Address |
2850 Pio Pico Dr Ste A-d Carlsbad CA 92008-1554 |
| Practice Telephone | 7605171758 |
| Practice Fax Number | 9495423878 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | DOUGLAS PENNY (MANAGER) |
| Authorized Official Telephone | 9494816156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
370158AP | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 05D2146685 | 01 | |
| CA | STATE OF CALIFORNIA | CDF00352100 | 01 |
| CA | STATE OF CALIFORNIA | 370158AP | 01 |
| Street Address |
2850 PIO PICO DR STE A-D |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447793955 | Charlotte Chin | Clinic/Center | 6185 Paseo Del Norte Ste 150, Carlsbad, CA 92011-1155 | 2016-12-01 |
| 1790288116 | Pmr Iop LLC | Clinic/Center | 1207 Carlsbad Village Dr, Carlsbad, CA 92008-1957 | 2018-03-12 |
| 1710421227 | Mary Buford | Clinic/Center | 6185 Paseo Del Norte Ste 150, Carlsbad, CA 92011-1155 | 2016-12-19 |
| 1891239133 | Maureen Wanjiru | Clinic/Center | 6185 Paseo Del Norte Ste 150, Carlsbad, CA 92011-1155 | 2016-12-06 |
| 1154864510 | Nicole Navarre | Clinic/Center | 6185 Paseo Del Norte Ste 150, Carlsbad, CA 92011-1155 | 2016-12-02 |
| 1952844466 | Heather Karpan | Clinic/Center | 6185 Paseo Del Norte Ste 150, Carlsbad, CA 92011-1155 | 2016-12-01 |
| 1407219157 | Crc Health Oregon | Clinic/Center | 6185 Paseo Del Norte, Ste 150, Carlsbad, CA 92011-1152 | 2016-03-31 |
| 1720441470 | Emily Elizabeth Lund | Clinic/Center | 6185 Paseo Del Norte, Ste 150, Carlsbad, CA 92011-1152 | 2016-03-31 |
| 1811350598 | Sara Milton | Clinic/Center | 6185 Paseo Del Norte, Ste 150, Carlsbad, CA 92011-1152 | 2016-03-31 |
| 1982067641 | Vanessa Perry-kahl | Clinic/Center | 6185 Paseo Del Norte, Ste 150, Carlsbad, CA 92011-1152 | 2016-03-31 |
| Find all providers in CARLSBAD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.