SAN DIEGO FOUNDATION FOR RECOVERY (NPI# 1770756074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770756074 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO FOUNDATION FOR RECOVERY |
| Practice Address |
4241 Jutland Dr 103 San Diego CA 92117-3663 |
| Practice Telephone | 8584903460 |
| Practice Fax Number | 8584903462 |
| Mailing Telephone | 8584903460 |
| Mailing Fax Number | 8584903462 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | MS. PHYLLIS MEAGHER (CEO) |
| Authorized Official Telephone | 8584903460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities | ||
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
4241 JUTLAND DR 103 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104845122 | Craig L. Dillman | Chiropractor | 4241 Jutland Dr, Ste 202, San Diego, CA 92117-3661 | 2006-07-19 |
| 1427317841 | Marilyn Thompson | Marriage & Family Therapist | 4241 Jutland Dr, 103, San Diego, CA 92117-3663 | 2012-05-04 |
| 1487950002 | Chemical Dependency & Pain Recovery of Ca, LLC | Substance Abuse Rehabilitation Facility | 4241 Jutland Dr, Suite 103, San Diego, CA 92117-3663 | 2011-01-28 |
| 1821246638 | Michael D. Corradino | Acupuncturist | 4241 Jutland Dr, 202, San Diego, CA 92117-3663 | 2008-09-04 |
| 1093977563 | Deborah E. Katz | Psychologist | 4241 Jutland Dr, 103, San Diego, CA 92117-3663 | 2008-06-26 |
| 1043405533 | Harmony Grove Programs, Inc. | Community/Behavioral Health | 4241 Jutland Dr, #320, San Diego, CA 92117-3663 | 2007-09-08 |
| 1801983085 | Jerry Neil Rand | Family Medicine | 4241 Jutland Dr, Suite 202, San Diego, CA 92117-3663 | 2006-10-06 |
| 1265526958 | Khara Elise Rice | Marriage & Family Therapist | 4241 Jutland Dr, Suite 202, San Diego, CA 92117-3663 | 2006-10-03 |
| 1427140367 | Jerry Rand Apmc | Clinic/Center | 4241 Jutland Dr, Suite 202, San Diego, CA 92117-3663 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871062927 | Uc San Diego Health - Monica Perlman Clinic | Clinic/Center | 3900 5th Ave Ste 300, San Diego, CA 92103-3138 | 2018-11-19 |
| 1083112247 | Legacy Medical Group, Inc. | Clinic/Center | 292 Euclid Ave Ste 210, San Diego, CA 92114-3629 | 2018-01-23 |
| 1063859460 | Coast To Coast Therapy Inc. | Clinic/Center | 3980 9th Ave # 1, San Diego, CA 92103-3244 | 2013-05-28 |
| 1134383573 | Pacific Colllege of Oriental Medicine, Inc | Clinic/Center | 7445 Mission Valley Rd, Suite 105, San Diego, CA 92108-4408 | 2008-07-15 |
| 1871794883 | Sands-smith | Clinic/Center | 995 Gateway Center Way Ste 108, San Diego, CA 92102-4544 | 2007-05-29 |
| 1871579722 | Scripps Clinic Medical Group | Clinic/Center | 4033 3rd Ave, Suite 210, San Diego, CA 92103-2117 | 2005-12-21 |
| 1497731350 | Scripps Health | Clinic/Center | 5405 Morehouse Dr, Suite 100, San Diego, CA 92121-4722 | 2005-12-21 |
| 1457337313 | Scripps Clinic Medical Group | Clinic/Center | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3082 | 2005-12-21 |
| 1457336273 | Scripps Clinic Medical Group | Clinic/Center | 7565 Mission Valley Rd, Suite 200, San Diego, CA 92108-4431 | 2005-12-14 |
| 1851376222 | Scripps Clinic Medical Group | Clinic/Center | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2005-12-08 |
| Find all providers in SAN DIEGO | ||||
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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.