Pure Path Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

300663AP Issued in CA

Legal business name

PURE PATH RECOVERY

Practice address

51 Sorbonne St
Westminster, CA 92683-8916

Phone

(949) 375-0070

Fax

(949) 429-7193

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Jennings, MBA

Title

Owner/Cfo

Phone

(949) 375-0070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1114473931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 TECHNOLOGY DR",
            "address_2": "STE#A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182407",
            "telephone_number": "949-375-0070",
            "fax_number": "949-429-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SORBONNE ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838916",
            "telephone_number": "949-375-0070",
            "fax_number": "949-429-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE PATH RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "949-375-0070",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "300663AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "300663AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Westminster, CA
• Providers in Westminster, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.