FRED BROWN'S RECOVERY SERVICES, INC.
NPI 1205585072
Case Manager/Care Coordinator in San Pedro, CA

NPI Status: Active since March 21, 2022

Contact Information

505 S PACIFIC AVE
103-106 & 205-206
SAN PEDRO, CA
ZIP 90731
Phone: (310) 519-8723
Fax: (310) 519-1309

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  • Organization
  • Case Manager/Care Coordinator

About FRED BROWN'S RECOVERY SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Fred Brown's Recovery Services, Inc., a provider established in San Pedro, California operating as a Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1205585072 assigned on March 2022. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Fred Brown's Recovery Services, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Angelita Fernando (Administrative Manager)

NPI
1205585072
Provider Name
FRED BROWN'S RECOVERY SERVICES, INC.
Entity Type
Organization
Location Address
505 S PACIFIC AVE 103-106 & 205-206 SAN PEDRO, CA 90731
Location Phone
(310) 519-8723
Location Fax
(310) 519-1309
Mailing Address
2033 S CRESCENT AVE SAN PEDRO, CA 90731
Mailing Phone
(310) 519-8723
Mailing Fax
(310) 519-1309
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2022
Last Update Date
04-05-2022
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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

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGELITA FERNANDO

Authorized Official Title
ADMINISTRATIVE MANAGER
Authorized Official Phone
(310) 519-8723

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205585072
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220510810014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 0 + 8 + 1 + 0 + 0 + 1 + 4 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1205585072 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699049650BEHAVIORAL HEALTH SERVICES
Organization
Community/Behavioral Health505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 831-2358
1154681765MRS. MARGARET LENTZ REAVEY
Individual
Counselor505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 831-2358
1861744500BEHAVIORAL HEALTH SERVICES, INC.
Organization
Community/Behavioral Health505 S PACIFIC AVE SUITE 201
SAN PEDRO, CA 90731
(310) 831-2358
1043679368MULTICARE MEDICAL CENTER CORP
Organization
Internal Medicine505 S PACIFIC AVE SUITE #201
SAN PEDRO, CA 90731
(424) 570-6960
1891234829DR. RAYMOND JOE PHILIPS DC
Individual
Chiropractor (Sports Physician)505 S PACIFIC AVE STE 104
SAN PEDRO, CA 90731
(310) 666-4721
1730454307 RALPH BERMAN
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE SUITE 205
SAN PEDRO, CA 90731
(310) 831-2358
1972101442 PHILIP VASQUEZ
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 519-8723
1174107932 LISA TOVES
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 519-8723
1982363446 DIVINA CAPOTE
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 519-8723
1790466878 MARY ANNE FORRESTER
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 833-7400
1720867211 JAMIE MAXWELL
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 519-8723
1700256039 JOSLYN BEARD
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 519-8723
1104693662 LENA INEZ PAULOS
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 510-8723
1154199925 JEFFERY YOUNGBLOOD
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 519-8723
1225807480 ANGEL PIPER
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 519-8723
1790549707 CORY HERSHEY
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 519-8723
1841054806 ELLAINE PERALTA
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 519-8723
1720708092 DAFNE ILEANA SALGADO JOVEL
Individual
Counselor (Professional)505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 519-8723
1225894033 MICHAEL KERCKHOFF
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 519-8723
1346867975 AMANDA MARIE HUDGENS
Individual
Counselor (Addiction (Substance Use Disorder))505 S PACIFIC AVE
SAN PEDRO, CA 90731
(310) 427-7606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205585072, enumerated in the NPI registry as an "organization" on March 21, 2022

The provider is located at 505 S Pacific Ave 103-106 & 205-206 San Pedro, Ca 90731 and the phone number is (310) 519-8723

This medical organization specializes in Case Manager/Care Coordinator with taxonomy code 171M00000X

This NPI record was last updated on March 21, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.