Active NPI
Simple Path Recovery LLC
- Adult Mental Health Clinic/Center
- Pomona, CA
National Provider Identifier
1265210249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- SIMPLE PATH RECOVERY LLC
- Practice address
- 68 Rio Rancho Rd
Unit 201-202
Pomona, CA 91766 - Phone
- (949) 302-1010
- NPI assigned
- Sep 20, 2023
- 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
- Cheyenne Chen-Piller
- Title
- Managing Member
- Phone
- (949) 302-1010
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
68 Rio Rancho Rd
Unit 201-202
Pomona, CA 91766
Mailing address
55 E Huntington Dr Ste 108
Arcadia, CA 91006-3246
Phone (949) 302-1010
National Provider Directory
National Provider Directory- Tax ID family
- Simple Path Recovery LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Pomona, CA
- NPI 1164282463
Locations
68 Rio Rancho Rd
Unit 201202
Pomona, CA 91766
Phone (949) 302-1010
68 Rio Rancho Rd
Unit 201
Pomona, CA 91766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710979200000",
"number": "1265210249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E HUNTINGTON DR STE 108",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063246",
"telephone_number": "949-302-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 RIO RANCHO RD",
"address_2": "UNIT 201-202",
"city": "POMONA",
"state": "CA",
"postal_code": "91766",
"telephone_number": "949-302-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLE PATH RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-20",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A",
"authorized_official_last_name": "CHEN-PILLER",
"authorized_official_first_name": "CHEYENNE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "949-302-1010"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.