CRC HEALTH GROUP (NPI# 1679862452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679862452 |
| Entity Type | Organization |
| Organization Name | CRC HEALTH GROUP |
| Practice Address |
1560 Capalina Rd San Marcos CA 92069-1288 |
| Practice Telephone | 7607442104 |
| Practice Fax Number | 7607441382 |
| Mailing Telephone | 7607442104 |
| Mailing Fax Number | 7607441382 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | MRS. MARSHA C BERNSTEIN (CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 7607442104 |
| Authorized Official Credential | MSW CADCII CAS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043465008 | Crc Health Group | Case Management | 1161 Third Avenue, Chula Vista, CA 91911 | 2008-11-18 |
| 1558614396 | Crc Health Group | Case Management | 2101 E 1st St, Santa Ana, CA 92705-4007 | 2012-10-17 |
| 1427361963 | Crc Health Group | Community/Behavioral Health | 2600 Se Belmont St, Portland, OR 97214-2916 | 2010-07-26 |
| 1407084304 | Crc Health Group | Clinic/Center | 40700 California Oaks Rd, Murrieta, CA 92562-5789 | 2009-06-30 |
| 1194938332 | Crc Health Group | Registered Nurse | 7020 Friars Rd, San Diego, CA 92108-1126 | 2007-05-07 |
| 1942420138 | Crc Health Group | Licensed Vocational Nurse | 7020 Friars Rd, San Diego, CA 92108-1126 | 2007-04-27 |
| Street Address |
1560 CAPALINA RD |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92069-1288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376566455 | Kevin Paul Feig | Internal Medicine | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2006-07-26 |
| 1902414063 | Tasha Larae Smith | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2020-07-15 |
| 1568088441 | Torey Elizabeth Leck | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2020-06-17 |
| 1841832086 | Oscar Lopez Guevara | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-10-09 |
| 1467014191 | Yidda Jazmin Mancinas | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-07-02 |
| 1982163994 | Robert Lyons | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-03-19 |
| 1932673928 | Jamie Lynn Lesage | Licensed Vocational Nurse | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-01-14 |
| 1679056816 | Josee Harris | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-09-13 |
| 1053892133 | Bethany Anne Johnson | Case Manager/Care Coordinator | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-08-27 |
| 1659857985 | Kathleen Mary Delmastro | Licensed Vocational Nurse | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
| 1588150296 | Martha Gallo | Adult Companion | 1227 Armorlite Dr Apt 102, San Marcos, CA 92069 | 2018-07-05 |
| 1508357765 | Jensen Moore | Chiropractor | 370 Mulberry Dr Ste C, San Marcos, CA 92069 | 2018-05-23 |
| 1457870156 | Brandie Janette Limon-nava | Counselor | 751 Rancheros Dr Suite 5, San Marcos, CA 92069 | 2017-09-13 |
| 1336436872 | Vivek Solanki | Dentist | 197 Woodland Pkwy #100, Mission Hills Family Dental, San Marcos, CA 92069 | 2011-07-05 |
| 1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
| 1407174113 | Daniel Reinke | Counselor | 1560 Capalina Road, San Marcos, CA 92069 | 2010-05-06 |
| 1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
| 1124220926 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 997 Woodland Pkwy, San Marcos, CA 92069 | 2007-06-04 |
| 1275755845 | Davoudi Dds Inc. | Dentist | 979 Woodland Parkway, Suite 100, San Marcos, CA 92069 | 2007-05-03 |
| Find all providers in zip 92069 | ||||
| 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 |
|---|---|---|---|---|
| 1780787747 | San Diego Health Alliance | Clinic/Center | 1560 Capalina Clinic, San Marcos, CA 92069 | 2006-09-06 |
| 1104162403 | Capalina Clinic | Clinic/Center | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2012-12-14 |
| 1033408778 | Judith Ann Jones | Clinic/Center | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2011-04-04 |
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| 1093323222 | City and County of San Francisco | Clinic/Center | 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 | 2020-07-14 |
| 1548899644 | Bella Team Ltd. | Clinic/Center | 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 | 2020-04-02 |
| 1386280899 | Western Pacific Med-corp | Clinic/Center | 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 | 2019-11-19 |
| 1518501527 | Harmonic Solutions LLC | Clinic/Center | 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 | 2019-11-01 |
| 1326698887 | Aegis Treatment Centers, LLC | Clinic/Center | 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 | 2019-09-17 |
| 1548819550 | Aegis Treatment Centers, LLC | Clinic/Center | 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 | 2019-09-11 |
| 1306326699 | Kristen Andree Rickard | Clinic/Center | 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 | 2018-08-16 |
| 1083141600 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1145 Market St Fl 10, San Francisco, CA 94103-1566 | 2017-05-13 |
| 1013448547 | Coachella Valley Treatment Center | Clinic/Center | 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 | 2017-03-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 92069 |
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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.