FRED BROWN'S RECOVERY SERVICES, INC.
NPI 1033733811
Substance Abuse Rehabilitation Facility in San Pedro, CA

Q: What is Fred Brown's Recovery Services, Inc.'s NPI number?

The NPI number for Fred Brown's Recovery Services, Inc. is 1033733811. It was assigned to this organization in the NPPES registry on June 8, 2020.

Q: What is Fred Brown's Recovery Services, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since June 08, 2020CLIA 05D2125649 · Waiver

356 W 13TH ST, SAN PEDRO, CA 90731(310) 519-8723(310) 519-1309 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2022, Feb 24, 2021, Jun 8, 2020 (3 updates tracked since 2020).

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About Fred Brown's Recovery Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED BROWN'S RECOVERY SERVICES, INC. (NPI 1033733811) is a healthcare organization registered as a substance abuse rehabilitation facility in San Pedro, California and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Angelita Fernando, Administrative Manager, as its authorized official.

NPPES Registry Identity

NPI1033733811

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameFRED BROWN'S RECOVERY SERVICES, INC.

Location Address356 W 13TH STSan Pedro, CA 90731-4210

Mailing AddressPo Box 2743San Pedro, CA 90731-0182 · (310) 519-8723 · Fax (310) 519-1309

Phone(310) 519-8723

Fax(310) 519-1309

Organization SubpartNo

Authorized OfficialAngelita FernandoAdministrative Manager · (310) 519-8723

Enumeration DateJune 8, 2020

Last NPPES UpdateMarch 8, 20223 updates tracked since enumeration

NPPES CertifiedMarch 8, 2022

✔ NPI 1033733811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

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.

356 W 13TH ST, San Pedro, CA 90731

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2125649

Fred Brown Recovery Services Inc · San Pedro, CA

Active · expires Feb 9, 2027

CLIA Number05D2125649

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateFebruary 10, 2025

Certificate Expiration DateFebruary 9, 2027

Laboratory DirectorRichard S. Merrick

Laboratory Phone(310) 519-8723

Laboratory LocationFred Brown Recovery Services Inc270 W 14th St, San Pedro, CA 90731

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Brown's Recovery Services, Inc.'s NPI number?

The NPI number for Fred Brown's Recovery Services, Inc. is 1033733811. It was assigned to this organization in the NPPES registry on June 8, 2020.

Where is Fred Brown's Recovery Services, Inc. located?

Fred Brown's Recovery Services, Inc. is located at 356 W 13th St, San Pedro, CA 90731. The listed phone number is (310) 519-8723.

What is Fred Brown's Recovery Services, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Fred Brown's Recovery Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2125649) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fred Brown's Recovery Services, Inc. was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.