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LA JOLLA RECOVERY
NPI 1174187017
Substance Abuse Rehabilitation Facility in La Jolla, CA

Active since April 25, 2019CLIA Certified · 3 labs
5978 LA JOLLA CORONA DR, LA JOLLA, CA 92037(858) 877-3422 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2019, Apr 25, 2019 (2 updates tracked since 2019).

About La Jolla Recovery NPPES

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

LA JOLLA RECOVERY (NPI 1174187017) is a healthcare organization registered as a substance abuse rehabilitation facility in La Jolla, California and active in the NPI registry since April 2019. The organization holds 3 active CLIA laboratory certificates and lists Daniel Simons, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174187017
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLA JOLLA RECOVERY INC
Location Address5978 LA JOLLA CORONA DRLa Jolla, CA 92037-7447
Mailing Address1804 Garnet Ave # 233San Diego, CA 92109-3352 · (858) 877-3422
Phone(858) 877-3422
Organization SubpartYesParent: La Jolla Recovery
Authorized OfficialDaniel SimonsCeo · (858) 877-3422
Enumeration DateApril 25, 2019
Last NPPES UpdateOctober 9, 20192 updates tracked since enumeration
✔ NPI 1174187017 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.
5978 LA JOLLA CORONA DR, La Jolla, CA 92037
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Other Names 1

Doing Business AsLa Jolla Recovery

CLIA Laboratory Certificates CMS CLIA 3

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 05D2191300

La Jolla Recovery · La Jolla, CA
Active · expires Aug 24, 2026
CLIA Number05D2191300
Laboratory TypeSud Residential Treatment
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorRodney D. Collins
Laboratory Phone(858) 877-3422
Laboratory LocationLa Jolla Recovery5978 La Jolla Corona Drive, La Jolla, CA 92037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2255027

La Jolla Recovery · San Diego, CA
Active · expires Mar 8, 2028
CLIA Number05D2255027
Laboratory TypeDetox Sud Residential
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorRodney D. Collins
Laboratory Phone(858) 877-3422
Laboratory LocationLa Jolla Recovery1450 Diamond Street, San Diego, CA 92109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2108471

La Jolla Recovery · La Jolla, CA
Active · expires Feb 4, 2028
CLIA Number05D2108471
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorRodney D. Collins
Laboratory Phone(858) 877-3422
Laboratory LocationLa Jolla Recovery7632 Herschel Ave, La Jolla, CA 92037
CLIA data matches this NPI record on: Name 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 La Jolla Recovery Inc's NPI number?

The NPI number for La Jolla Recovery Inc is 1174187017. It was assigned to this organization in the NPPES registry on April 25, 2019. The provider is doing business as La Jolla Recovery.

Where is La Jolla Recovery Inc located?

La Jolla Recovery Inc is located at 5978 La Jolla Corona Dr, La Jolla, CA 92037. The listed phone number is (858) 877-3422.

What is La Jolla Recovery Inc's specialty?

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

Does La Jolla Recovery Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for La Jolla Recovery Inc was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.