Active NPI
Trade Recovery Center - Outpatient
- Substance Abuse Rehabilitation Facility
- Mariposa, CA
National Provider Identifier
1346153905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- TRADE RECOVERY CENTER - OUTPATIENT
- Practice address
- 5112 Bullion St
Mariposa, CA 95338 - Phone
- (209) 742-5095
- NPI assigned
- Sep 24, 2026
- 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
- Lisa Parker
- Title
- Executive Director
- Phone
- (209) 291-1889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
5112 Bullion St
Mariposa, CA 95338
Mailing address
PO Box 543
Mariposa, CA 95338-0543
Phone (209) 742-5095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1346153905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 543",
"city": "MARIPOSA",
"state": "CA",
"postal_code": "953380543",
"telephone_number": "209-742-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5112 BULLION ST",
"city": "MARIPOSA",
"state": "CA",
"postal_code": "95338",
"telephone_number": "209-742-5095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRADE RECOVERY CENTER - OUTPATIENT",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "209-291-1889"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mariposa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.