Organization Active NPI

Pure Recovery California Inc

  • Substance Abuse Rehabilitation Facility
  • Oxnard, CA
National Provider Identifier
1144606559
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
560049AP Issued in CA
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

Updated by the provider on Sep 26, 2024

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2135570Pure Recovery California4300 Tradewinds Dr Ste 101, Oxnard, CA 93035Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.