PACIFIC BAY RECOVERY INC


Address: 4959 Cresita Dr, San Diego, CA 92115-2339
Phone: 6194930436

PACIFIC BAY RECOVERY INC (NPI# 1518458298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518458298
Entity Type Organization
Organization Name PACIFIC BAY RECOVERY INC
Practice Address 4959 Cresita Dr
San Diego
CA 92115-2339
Mailing Address 1501 5th Ave Ste 200
San Diego
CA 92101-3224
Practice Telephone 6194930436
Mailing Telephone 6194930436
Enumeration Date 2018-05-29
Last Update Date 2018-05-29
Authorized Official Name JOSIE RAMOS (HR COORDINATOR)
Authorized Official Telephone 6195928695
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831681576 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4971 Cresita Dr, San Diego, CA 92115-2339 2018-05-30
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
1679815252 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 1501 5th Ave Ste 200, San Diego, CA 92101 2013-03-21

Office Location

Street Address 4959 CRESITA DR
City SAN DIEGO
State CA
Zip Code 92115-2339

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790313922 Mayra Ailed Bugarin Student in an Organized Health Care Education/Training Program City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 2020-04-01
1093369878 Chang Liu Counselor 3539 College Avenue, San Diego, CA 92115 2019-07-30
1689238560 Donia Ahadian Student in an Organized Health Care Education/Training Program City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 2019-04-26
1780157859 James Michael Sites Military Health Care Provider Uss Shoup Ddg 86, San Diego, CA 92115 2019-01-10
1780163006 Marcos Luis Sandoval Case Manager/Care Coordinator 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 2018-08-08
1437651981 Phyllis Lynette Pryor Licensed Vocational Nurse 4974 El Cajon Blvd Suite A, San Diego, CA 92115 2018-03-01
1982125605 Ellen Medical Transport Non-emergency Medical Transport (VAN) 4587 Winona Ave #5, San Diego, CA 92115 2017-07-03
1992225296 P'okot LLC Non-emergency Medical Transport (VAN) 5511 Adelaide Ave, 26, San Diego, CA 92115 2017-06-27
1578019840 Alfred Zygmunt Nowak Specialist/Technologist 6663 Reservoir Ln, San Diego, CA 92115 2016-08-28
1639534183 Kalkaal Financial Enterprise, LLC. Non-emergency Medical Transport (VAN) 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 2015-12-29
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992312227 Apex Recovery, LLC Substance Abuse Rehabilitation Facility 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 2020-09-30
1891320099 Refresh Recovery LLC Substance Abuse Rehabilitation Facility 4141 Jutland Dr Ste 110, San Diego, CA 92117-3658 2020-03-08
1447804612 Akua Behavioral Health, Inc Substance Abuse Rehabilitation Facility 2821 B St, San Diego, CA 92102-2208 2019-07-26
1619531530 La Jolla Recovery Inc Substance Abuse Rehabilitation Facility 2140 Hartford St, San Diego, CA 92110-1312 2019-04-25
1558835264 Jfccm LLC Substance Abuse Rehabilitation Facility 6122 El Cajon Blvd, San Diego, CA 92115-3914 2019-01-15
1255801767 Akua Behavioral Health, Inc Substance Abuse Rehabilitation Facility 3025 Reynard Way, San Diego, CA 92103-5434 2018-11-27
1831681576 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4971 Cresita Dr, San Diego, CA 92115-2339 2018-05-30
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
1982108841 Pathfinders of San Diego Substance Abuse Rehabilitation Facility 1530 Dale St, San Diego, CA 92102-1519 2018-03-23
1285138230 Pathfinders of San Diego Substance Abuse Rehabilitation Facility 2980 Cedar St, San Diego, CA 92102-1599 2018-03-22
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92115

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Dataset Information

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.

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