PACIFIC BAY RECOVERY INC
NPI 1952892614
Substance Abuse Rehabilitation Facility in San Diego, CA

Active since May 29, 2018
4095 JACKDAW ST, SAN DIEGO, CA 92103(619) 493-0436 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Bay Recovery Inc NPPES

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

PACIFIC BAY RECOVERY INC (NPI 1952892614) is a healthcare organization registered as a substance abuse rehabilitation facility in San Diego, California and active in the NPI registry since May 2018. The organization maintains 2 additional practice locations and lists Josie Ramos, Hr Coordinator, as its authorized official.

NPPES Registry Identity

NPI1952892614
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePACIFIC BAY RECOVERY INC
Location Address4095 JACKDAW STSan Diego, CA 92103
Mailing Address1501 5th Ave Ste 200San Diego, CA 92101-3224 · (619) 493-0436
Organization SubpartNo
Authorized OfficialJosie RamosHr Coordinator · (619) 592-8695
Enumeration DateMay 29, 2018
NPI 1952892614 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.
4095 JACKDAW ST, San Diego, CA 92103

Secondary Practice Locations 2

Location 14959 Cresita DrSan Diego, CA 92115-2339 · Phone (619) 493-0436
Location 24971 Cresita DrSan Diego, CA 92115-2339 · Phone (619) 493-0436

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 Pacific Bay Recovery Inc's NPI number?

The NPI number for Pacific Bay Recovery Inc is 1952892614. It was assigned to this organization in the NPPES registry on May 29, 2018.

Where is Pacific Bay Recovery Inc located?

Pacific Bay Recovery Inc is located at 4095 Jackdaw St, San Diego, CA 92103. The listed phone number is (619) 493-0436.

What is Pacific Bay Recovery Inc'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 Pacific Bay Recovery Inc was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.