PURE PATH RECOVERY


Address: 51 Sorbonne St, Westminster, CA 92683-8916
Phone: 9493750070

PURE PATH RECOVERY (NPI# 1114473931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114473931
Entity Type Organization
Organization Name PURE PATH RECOVERY
Practice Address 51 Sorbonne St
Westminster
CA 92683-8916
Mailing Address 216 Technology Dr
Ste#a
Irvine
CA 92618-2407
Practice Telephone 9493750070
Practice Fax Number 9494297193
Mailing Telephone 9493750070
Mailing Fax Number 9494297193
Enumeration Date 2016-08-31
Last Update Date 2016-08-31
Authorized Official Name AARON JENNINGS (OWNER/CFO)
Authorized Official Telephone 9493750070
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
300663AP CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA LICENSE 300663AP 01

Office Location

Street Address 51 SORBONNE ST
City WESTMINSTER
State CA
Zip Code 92683-8916

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NPI Name Taxonomy Address Enumeration
1578050050 Luna Dawn Garcia Behavior Technician 3950 Milton Ave Suite 200b, Westminster, CA 92683 2018-04-19
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1992216717 Cornerstone Dentistry Clinic/Center 14120 Beach Blvd. #212, Westminster, CA 92683 2017-10-19
1306369566 Nova Surgery Center, LLC Surgery 8331 Westminster Blvd Ste B, Westminster, CA 92683 2017-07-19
1619429693 All Smiles Dental Dentist 9361 Bolsa Avenue, Suite #102, Westminster, CA 92683 2016-10-26
1265882856 Anh Phuong Nguyen Occupational Therapist 15606 A Brookhurst St., Westminster, CA 92683 2016-06-15
1194192831 Tuong Vi Thi Nguyen Dentist 16517 Magnolia Street, Westminster, CA 92683 2015-08-28
1366818767 Hoai Albert Bui Jr. Acupuncturist 9561 Bolsa Ave, Westminster, CA 92683 2015-08-19
1245606698 Vision Institute of Southern California A Professional Medical Corpora Ophthalmology 8341 Westminster Blvd., Ste. 202, Westminster, CA 92683 2015-08-19
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1356956288 Community Reach Center, Inc Clinic/Center 2551 W 84th Ave Ste 2, Westminster, CO 80031-3807 2020-09-08
1487215331 Counseling Center of The Rockies, LLC Clinic/Center 3489 W 72nd Ave Ste 105, Westminster, CO 80030-5314 2019-06-21
1104222033 Center for Change, LLC Clinic/Center 8020 Federal Blvd, 6, Westminster, CO 80031-4165 2014-11-04
1740216407 Valley Hope Association Clinic/Center 8471 Turnpike Dr, Ste 115, Westminster, CO 80031-7027 2006-06-24
1275147100 Community Reach Center, Inc Clinic/Center 3031 W 76th Ave, Westminster, CO 80030-4909 2020-09-08
1871117028 Priceless Hearts Behavioral Health Center LLC Clinic/Center 684 Poole Rd Ste B, Westminster, MD 21157-6173 2020-06-03
1982191334 Associated Catholic Charities, Inc. Clinic/Center 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 2018-04-20
1730618224 Access Carroll, Inc. Clinic/Center 10 Distillery Rd Ste 200, Westminster, MD 21157-5344 2017-06-08
1760915474 Life's Potential Services Clinic/Center 247 E Main St, Westminster, MD 21157-5228 2017-04-10
1598161713 Gabe's Homes Clinic/Center 14061 Chestnut St, Westminster, CA 92683-4262 2014-11-16
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Competitor

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City WESTMINSTER
Zip Code 92683

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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