PACIFICA RECOVERY INC (NPI# 1639663230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639663230 |
| Entity Type | Organization |
| Organization Name | PACIFICA RECOVERY INC |
| Practice Address |
280 E Mel Ave Palm Springs CA 92262-4817 |
| Practice Telephone | 7693180626 |
| Practice Fax Number | 7603180610 |
| Mailing Telephone | 7603180626 |
| Mailing Fax Number | 7603180610 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | YOGESH DESAI (CEO) |
| Authorized Official Telephone | 7603180626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | 330027BP | CA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 330027AP | CA | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 280 E Mel Ave, Palm Springs, CA 922624817 | 7603180626 | 7603180610 |
| 555 S Palm Canyon Dr Ste A203, Palm Springs, CA 922647210 | 7603180626 | 7603180610 |
| 74200 Fairway Dr, Palm Desert, CA 922604949 | 7603180626 | 7603180610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456926 | Pacifica Recovery Inc | Clinic/Center | 74050 Alessandro Dr Ste B, Palm Desert, CA 92260-3705 | 2020-08-07 |
| Street Address |
280 E MEL AVE |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750826046 | Ascension Partners | Substance Abuse Rehabilitation Facility | 280 E Mel Ave, Palm Springs, CA 92262-4817 | 2016-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| 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 |
|---|---|---|---|---|
| 1205377462 | Soho Wellness Initiative, LLC | Substance Abuse Rehabilitation Facility | 4801 S Congress Ave Ste 120, Palm Springs, FL 33461-4746 | 2017-03-20 |
| 1902345119 | Brian Dunphey | Substance Abuse Rehabilitation Facility | 1850 N San Clemente Rd, Palm Springs, CA 92262-3921 | 2017-02-21 |
| 1750826046 | Ascension Partners | Substance Abuse Rehabilitation Facility | 280 E Mel Ave, Palm Springs, CA 92262-4817 | 2016-12-22 |
| 1518402882 | Ascension Treatment Centers | Substance Abuse Rehabilitation Facility | 555 S Palm Canyon Dr, Suite A202, Palm Springs, CA 92264-7469 | 2016-12-22 |
| 1396987392 | Palm Springs Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 515 North Palm Canyon Drive, Bldg H, Palm Springs, CA 92262-5543 | 2009-04-06 |
| 1285883629 | Palm Springs Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 2095 N Indian Canyon Drive, Palm Springs, CA 92262-3019 | 2008-09-10 |
| 1043474463 | Life's Journey Center, Inc. | Substance Abuse Rehabilitation Facility | 291 E Camino Monte Vis, Palm Springs, CA 92262-4710 | 2008-07-15 |
| 1437368529 | Palm Springs Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 430 S Cahuilla Road, Palm Springs, CA 92262-7312 | 2007-05-22 |
| 1922571496 | Intervention 911 | Substance Abuse Rehabilitation Facility | 1990 E Calle Felicia, Palm Springs, CA 92262-7130 | 2019-01-08 |
| 1811460488 | Intervention 911 | Substance Abuse Rehabilitation Facility | 501 N Cantera Cir, Palm Springs, CA 92262-6226 | 2019-01-07 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
Please comment or provide details below to improve the information on PACIFICA RECOVERY INC.
| 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.