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SAN FERNANDO RECOVERY CENTER
NPI 1164980603
Substance Abuse Rehabilitation Facility in San Fernando, CA

Active since March 04, 2019
762 GRISWOLD AVE, SAN FERNANDO, CA 91340(747) 500-9405 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2025, Sep 16, 2019, Mar 4, 2019 (3 updates tracked since 2019).

About San Fernando Recovery Center NPPES

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

SAN FERNANDO RECOVERY CENTER (NPI 1164980603) is a healthcare organization registered as a substance abuse rehabilitation facility in San Fernando, California and active in the NPI registry since March 2019. The organization maintains 3 additional practice locations and lists Jose Martinez, Director, as its authorized official.

NPPES Registry Identity

NPI1164980603
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSAN FERNANDO RECOVERY CENTER
Location Address762 GRISWOLD AVESan Fernando, CA 91340-2105
Mailing Address762 Griswold AveSan Fernando, CA 91340-2105 · (747) 500-9405
Phone(747) 500-9405
Organization SubpartNo
Authorized OfficialJose MartinezDirector · (818) 809-8868
Enumeration DateMarch 4, 2019
Last NPPES UpdateJune 25, 20263 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1164980603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
762 GRISWOLD AVE, San Fernando, CA 91340
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Secondary Practice Locations 3

Location 11024 N Maclay Ave, Unit G, NSan Fernando, CA 91340-1361 · Phone (747) 500-9405
Location 2734 Griswold AveSan Fernando, CA 91340-2105 · Phone (747) 500-9405
Location 3732 Griswold AveSan Fernando, CA 91340-2105 · Phone (747) 500-9405

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DOLORES BONNIE GUERRERO-REYNALDO LVN
Licensed Vocational Nurse
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
RICHARD KEITH JOHN JR.
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MR. CHARLES NICKELL
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
CAINE HERRERA
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARTHA VANESSA ALMENDAREZ
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
RYAN CURIEL
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARINA NICOLETI
Student in an Organized Health Care Education/Training Program
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
ROGELIO ALVAREZ
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405

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 San Fernando Recovery Center's NPI number?

The NPI number for San Fernando Recovery Center is 1164980603. It was assigned to this organization in the NPPES registry on March 4, 2019.

Where is San Fernando Recovery Center located?

San Fernando Recovery Center is located at 762 Griswold Ave, San Fernando, CA 91340. The listed phone number is (747) 500-9405.

What is San Fernando Recovery Center's specialty?

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

When was this NPI record last updated?

The NPPES record for San Fernando Recovery Center was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.