NPIMap

Organization Active NPI

PH Wellness, Inc.

  • Substance Abuse Rehabilitation Facility
  • Riverside, CA
National Provider Identifier
1053135665
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PH WELLNESS, INC.
Practice address
7770 Broadacre PL
Riverside, CA 92504-5401
Phone
(951) 335-5576
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony Ferrigno
Title
Billing Manager
Phone
(949) 446-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

7770 Broadacre PL
Riverside, CA 92504-5401

Mailing address

12534 Valley View St Ste 169
Garden Grove, CA 92845-2006

National Provider Directory

National Provider Directory
Tax ID family
PH Wellness Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12534 Valley View St
Ste 169
Garden Grove, CA 92845

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1053135665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12534 VALLEY VIEW ST STE 169",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 BROADACRE PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045401",
            "telephone_number": "951-335-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "FERRIGNO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "949-446-6280"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.