CHEMICAL DEPENDENCY & PAIN RECOVERY OF CA, LLC (NPI# 1487950002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487950002 |
| Entity Type | Organization |
| Organization Name | CHEMICAL DEPENDENCY & PAIN RECOVERY OF CA, LLC |
| Other Organization Name | BAY RECOVERY |
| Practice Address |
4241 Jutland Dr Suite 103 San Diego CA 92117-3663 |
| Practice Telephone | 8584903460 |
| Practice Fax Number | 8584903462 |
| Mailing Telephone | 8584903460 |
| Mailing Fax Number | 8584903462 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |
| Authorized Official Name | MR. JAMES REED (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8584903460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 370123BP | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Bay Recovery | Doing Business As Name - Organization |
| Street Address |
4241 JUTLAND DR SUITE 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 |
| 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 |
| 1770756074 | San Diego Foundation for Recovery | Acupuncturist | 4241 Jutland Dr, 103, San Diego, CA 92117-3663 | 2008-04-08 |
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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] |
| 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 |
| 1518458298 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4959 Cresita Dr, San Diego, CA 92115-2339 | 2018-05-29 |
| 1982108841 | Pathfinders of San Diego | Substance Abuse Rehabilitation Facility | 1530 Dale St, San Diego, CA 92102-1519 | 2018-03-23 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on CHEMICAL DEPENDENCY & PAIN RECOVERY OF CA, LLC.
| 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.