Active NPI
Pure Recovery California Inc
- Substance Abuse Rehabilitation Facility
- Oxnard, CA
National Provider Identifier
1144606559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 560049AP
- Legal business name
- PURE RECOVERY CALIFORNIA INC
- Practice address
- 4300 Tradewinds Dr Ste 101
Oxnard, CA 93035-1460 - Phone
- (805) 815-3399
- Fax
- (805) 815-4499
- NPI assigned
- Aug 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Siler
- Title
- Owner
- Phone
- (805) 815-3399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 560049AP | CA | Primary |
Addresses
Primary practice location
4300 Tradewinds Dr Ste 101
Oxnard, CA 93035-1460
Mailing address
4300 Tradewinds Dr Ste 101
Oxnard, CA 93035-1460
Phone (805) 815-3399
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2135570 | Pure Recovery California | Certificate of waiver | Aug 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
4300 Tradewinds Dr
Ste 101
Oxnard, CA 93035
Phone (805) 702-2500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1144606559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 TRADEWINDS DR STE 101",
"city": "OXNARD",
"state": "CA",
"postal_code": "930351460",
"telephone_number": "805-815-3399",
"fax_number": "805-815-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 TRADEWINDS DR STE 101",
"city": "OXNARD",
"state": "CA",
"postal_code": "930351460",
"telephone_number": "805-815-3399",
"fax_number": "805-815-4499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE RECOVERY CALIFORNIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-07",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "SILER",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-815-3399"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "560049AP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.