MONTEREY BAY RECOVERY AND REHABILITATION, LLC
NPI 1689180499
Substance Abuse Rehabilitation Facility in Aptos, CA
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 05D2133568
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 07-13-2027
About MONTEREY BAY RECOVERY AND REHABILITATION, LLC
This page provides the complete NPI Profile along with additional information for Monterey Bay Recovery And Rehabilitation, Llc, a provider established in Aptos, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1689180499 assigned on December 2017. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Nathan Tuddenham Cadc-cs Ca (Chief Operating Officer)
- NPI
- 1689180499 Verify this NPI
- Provider Name
- MONTEREY BAY RECOVERY AND REHABILITATION, LLC
- Entity Type
- Organization
- Location Address
- 9057 SOQUEL DRIVE BUILDING A, SUITE G APTOS, CA 95003
- Location Phone
- (855) 734-2207
- Mailing Address
- 262 GAFFEY RD WATSONVILLE, CA 95076
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2017
- Last Update Date
- 09-20-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2133568
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- July 14, 2025
- Certificate Expiration Date
- July 13, 2027
- Laboratory Director
- STEPHEN STEIN MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Monterey Bay Recovery And Rehabilitation, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MONTEREY BAY RECOVERY AND REHABILITATION, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
APTOS, CA 95003
APTOS, CA 95003
APTOS, CA 95003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689180499, enumerated as an "organization" on December 18, 2017.
The provider is located at 9057 SOQUEL DRIVE BUILDING A, SUITE G APTOS, CA 95003 and the phone number is (855) 734-2207.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
