CRC HEALTH (NPI# 1437372778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437372778 |
| Entity Type | Organization |
| Organization Name | CRC HEALTH |
| Practice Address |
7020 Friars Rd San Diego CA 92108-1126 |
| Mailing Address |
3038 Chamoune Ave San Diego CA 92105-4334 |
| Practice Telephone | 6197189890 |
| Practice Fax Number | 6197189897 |
| Mailing Telephone | 6192519868 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PETER JEROME SANFILIPPO (COUNSELOR) |
| Authorized Official Telephone | 6197189890 |
| Authorized Official Credential | AS DEGREE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
101YA0400X | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679802789 | Crc Health | Clinic/Center | 7020 Friars Road, San Diego, CA 92108 | 2009-12-18 |
| 1205055381 | Crc Health | Nursing Facility/Intermediate Care Facility | 2970 Baptist Valley Rd, Cedar Bluff, VA 24609-8654 | 2007-04-25 |
| 1316165749 | Crc Health | Intermediate Care Facility, Mental Illness | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2007-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CRC HEALTH CORPORATION | 105 N. Bascom Ave., Second Fl., San Jose, CA 95128 |
| North Carolina Corporations | CRC Health Corporation | 2 South Salisbury Street, Raleigh, NC 27601 |
| Oregon Corporations, Companies and Business Names | CRC HEALTH OREGON, LLC | 6100 Tower Circle, Suite 1000, Franklin, TN 37067 |
| Street Address |
7020 FRIARS RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609997865 | Crc Health Group, Inc | Clinic/Center | 7020 Friars Rd, San Diego, CA 92108-1126 | 2007-04-03 |
| 1578937652 | Steven Rodriguez | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2015-11-30 |
| 1366847170 | Bryan Frazier | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2014-10-23 |
| 1376961953 | Toni Wells | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2014-04-01 |
| 1356766067 | Deborah Hamilton | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2014-03-04 |
| 1063845899 | Nicole Adzima | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2013-08-15 |
| 1962841775 | Cheryl-anne Maria Phillips | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2013-06-14 |
| 1487097960 | San Diego Treatment Services | Clinic/Center | 7020 Friars Rd, San Diego, CA 92108-1126 | 2013-04-15 |
| 1437494150 | Matthew Finch | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2012-12-06 |
| 1952646697 | Fashion Valley Clinic | Exclusive Provider Organization | 7020 Friars Rd, San Diego, CA 92108-1126 | 2012-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679802789 | Crc Health | Clinic/Center | 7020 Friars Road, San Diego, CA 92108 | 2009-12-18 |
| 1609997865 | Crc Health Group, Inc | Clinic/Center | 7020 Friars Rd, San Diego, CA 92108-1126 | 2007-04-03 |
| 1932251550 | Progressive Medical Specialists LLC | Clinic/Center | 4974 El Cajon Blvd, Suite A, San Diego, CA 92115-4677 | 2007-01-16 |
| 1780153882 | Akua Behavioral Health, Inc | Clinic/Center | 2754 Imperial Ave, San Diego, CA 92102-4031 | 2018-11-19 |
| 1477998136 | Juan Angel Graciano | Clinic/Center | 3940 Home Ave, San Diego, CA 92105-5952 | 2013-05-07 |
| 1487097960 | San Diego Treatment Services | Clinic/Center | 7020 Friars Rd, San Diego, CA 92108-1126 | 2013-04-15 |
| 1285986430 | Crc Home Avenue Clinic | Clinic/Center | 3940 Home Ave, San Diego, CA 92105-5952 | 2012-10-12 |
| 1326379926 | Armt Medical Specialists, Inc | Clinic/Center | 4974 El Cajon Blvd, Suite A, San Diego, CA 92115-4654 | 2010-01-21 |
| 1457533747 | Progressive Medical Specialists | Clinic/Center | 4974 El Cajon Blvd, Suite A, San Diego, CA 92115-4677 | 2007-11-29 |
| 1285821389 | Duangtavan Sourivong | Clinic/Center | 3940 Home Ave, San Diego, CA 92105-5952 | 2007-10-02 |
| 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.