Organization Active NPI

Recovery Wellness LLC

  • Adult Mental Health Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1366304123
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RECOVERY WELLNESS LLC
Practice address
9320 Base Line Rd Ste a
Rancho Cucamonga, CA 91701-5829
Phone
(909) 496-4281
Fax
(909) 360-1332
NPI assigned
Dec 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Mr. Jodie James Sanders III
Title
Program Director
Phone
(909) 496-4281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

9320 Base Line Rd Ste a
Rancho Cucamonga, CA 91701-5829

Mailing address

34428 Yucaipa Blvd # E309
Yucaipa, CA 92399-2474
Phone (909) 496-4281

National Provider Directory

National Provider Directory

Locations

34428 Yucaipa Blvd
#E309
Yucaipa, CA 92399

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1366304123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34428 YUCAIPA BLVD # E309",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992474",
            "telephone_number": "909-496-4281",
            "fax_number": "909-360-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 BASE LINE RD STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917015829",
            "telephone_number": "909-496-4281",
            "fax_number": "909-360-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "909-496-4281",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.