CRC HEALTH OREGON (NPI# 1407219157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407219157 |
| Entity Type | Organization |
| Organization Name | CRC HEALTH OREGON |
| Practice Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1152 |
| Mailing Address |
6601 Ne 78th Ct Suite A-3 Portland OR 97218-2823 |
| Practice Telephone | 8552592288 |
| Practice Fax Number | 7609188712 |
| Mailing Telephone | 5032523949 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | NICOLE ROSE ANN SMITH (NURSE SUPERVISOR) |
| Authorized Official Telephone | 5032522949 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 028382 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427109222 | Crc Health Oregon | Clinic/Center | 885 Sw 30th St, Ontario, OR 97914-4626 | 2007-01-16 |
| 1215488200 | Crc Health Oregon | Case Management | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2016-10-14 |
| 1396294005 | Crc Health Oregon | Community/Behavioral Health | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2016-09-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CRC HEALTH OREGON, LLC | 6100 Tower Circle, Suite 1000, Franklin, TN 37067 |
| Street Address |
6185 PASEO DEL NORTE STE 150 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92011-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629254891 | Staffing Partners California Inc | Home Health | 6185 Paseo Del Norte, Suite 200-a, Carlsbad, CA 92011-1152 | 2008-01-17 |
| 1033647052 | Ashley Luchsinger | Occupational Therapist | 6185 Paseo Del Norte, Carlsbad, CA 92011 | 2017-06-03 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134691488 | Anne Meyers French | Nurse Practitioner | 6735 Palermi Place, Carlsbad, CA 92011 | 2018-12-27 |
| 1457876401 | Danika Enid Miranda | Behavioral Analyst | 2441 Palomar Airport Road #350, Carlsbad, CA 92011 | 2017-08-11 |
| 1902299472 | Jessica Tn Truong | Dentist | 520 Stern Way, Carlsbad, CA 92011 | 2015-03-09 |
| 1902140734 | Hygeia II Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6241 Yarrow Dr, Suite A, Carlsbad, CA 92011 | 2012-11-16 |
| 1063522548 | Dawn Anderson | Physical Therapist | 6070 Avenida Encinas, Carlsbad, CA 92011 | 2006-08-30 |
| 1962512566 | Costco Wholesale Corporation | Pharmacy | 951 Palomar Airport Rd, Carlsbad, CA 92011 | 2006-08-30 |
| 1003860537 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011 | 2006-05-20 |
| 1932176898 | Garrett J Tallman | Orthopaedic Surgery | 6125 Paseo Del Norte Ste 110, Carlsbad, CA 92011 | 2006-02-28 |
| 1821096157 | Paul Eric Dicesare | Orthopaedic Surgery | 1544 Weatherly Road, Carlsbad, CA 92011 | 2005-07-11 |
| 1699277897 | Priscilla Marie San Vicente | Technician, Other | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011 | 2018-03-03 |
| Find all providers in zip 92011 | ||||
| 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 |
| 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 |
| 1194118315 | West Coast Men's LLC | Clinic/Center | 785 Grand Ave, Suite 220, Carlsbad, CA 92008 | 2015-03-12 |
| 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.