MONTEREY BAY RECOVERY AND REHABILITATION, LLC – NPI #1689180499
Substance Abuse Rehabilitation Facility

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.

MONTEREY BAY RECOVERY AND REHABILITATION, LLC is a substance abuse rehabilitation facility located in APTOS, CA. NPPES has assigned the NPI number 1689180499 to MONTEREY BAY RECOVERY AND REHABILITATION, LLC on December 18, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 4 years ago on Sep 20, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MONTEREY BAY RECOVERY AND REHABILITATION, LLC below.

NPI Profile for
MONTEREY BAY RECOVERY AND REHABILITATION, LLC

NPI Number
1689180499
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MONTEREY BAY RECOVERY AND REHABILITATION, LLC
Primary location
9057 SOQUEL DRIVE
BUILDING A, SUITE G
APTOS, CA 95003
Phone: (855) 734-2207 Fax:
Mailing address
262 GAFFEY RD
WATSONVILLE, CA 95076-9731
Phone: Fax:
Organization Subpart
No
Authorized Official
NATHAN TUDDENHAM
CHIEF OPERATING OFFICER
Phone: (831) 740-4629
Updated
Certification Date
Sep 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.