Recovery Revelations, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RECOVERY REVELATIONS, INC.

Practice address

9980 Riggins Rd
Phelan, CA 92371-8421

Phone

(626) 696-7107

NPI assigned

Jan 24, 2019

Organization subpart

No

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

Authorized official

Name

Joseph Ming

Title

Ceo

Phone

(626) 733-2685

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1407310352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 BRIGHTVIEW DR",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404145",
            "telephone_number": "626-696-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 RIGGINS RD",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923718421",
            "telephone_number": "626-696-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY REVELATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "MING",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-733-2685"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Mart Inc
• Pharmacy Mart Inc
• Michael Edward Poblete, OD
• Diego Alejandro Ramirez, LCSW 132466
• Lucia Ramirez
• Tracy Rhodes, PHARM.D.
• Rite Aid Corporation
• Rachel Marie Ryan, NP-C
• Evelyn Sanchez
• Kainat Hasan Sawez, PHARM.D.

• Substance Abuse Rehabilitation Facility in Phelan, CA
• Providers in Phelan, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.