SAN DIEGO STUDENT RECOVERY, LLC (NPI# 1730552084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730552084 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO STUDENT RECOVERY, LLC |
| Practice Address |
5440 Morehouse Dr Ste 4500 San Diego CA 92121-6724 |
| Practice Telephone | 8184153456 |
| Mailing Telephone | 8184153456 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Authorized Official Name | ROBERT PFEIFER (CEO) |
| Authorized Official Telephone | 8184153456 |
| 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 |
| Street Address |
5440 MOREHOUSE DR STE 4500 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-6724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898473 | Abc Sober Living | Clinic/Center | 2123 Garnet Ave, San Diego, CA 92109-3663 | 2019-12-20 |
| 1477115525 | Lifemark Solutions LLC | Clinic/Center | 3065 Rosecrans Pl Ste 202, San Diego, CA 92110-4822 | 2019-06-28 |
| 1497230429 | Ethridge Recovery Center | Clinic/Center | 405 63rd St, San Diego, CA 92114-4237 | 2018-09-25 |
| 1023595519 | Holistix Treatment Centers LLC | Clinic/Center | 6310 Alvarado Ct, San Diego, CA 92120-4902 | 2018-07-26 |
| 1386148625 | Sober Life Recovery Solutions LLC | Clinic/Center | 1446 Front St Ste 400, San Diego, CA 92101-3425 | 2018-03-21 |
| 1124539960 | Crash, Inc. | Clinic/Center | 835 25th St, San Diego, CA 92102-2738 | 2017-10-19 |
| 1538611165 | The Betty Ford Center At San Diego | Clinic/Center | 11720 El Camino Real, Suite 200, San Diego, CA 92130-2224 | 2016-10-31 |
| 1841699352 | Community Behavioral Health Solutions, Inc | Clinic/Center | 7071 Consolidated Way, San Diego, CA 92121 | 2014-08-20 |
| 1700989829 | San Diego Health Alliance | Clinic/Center | 7545 Metropolitan Dr, San Diego, CA 92108-4402 | 2006-09-06 |
| 1053889634 | Crash, Inc. | Clinic/Center | 835 25th St, San Diego, CA 92102-2738 | 2018-11-13 |
| 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.