NPIMap

Organization Active NPI

Muir Wood LLC

  • Psychiatric Residential Treatment Facility
  • Clovis, CA
National Provider Identifier
1457038812
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
MUIR WOOD LLC
Practice address
12808 Auberry Rd
Clovis, CA 93619-9639
Phone
(310) 903-1155
Fax
(707) 559-5401
NPI assigned
Jun 28, 2023
Organization subpart
Yes
Parent organization
MUIR WOOD LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Bryan Bowen, COO
Title
Chief Operations Officer
Phone
(415) 497-7722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

12808 Auberry Rd
Clovis, CA 93619-9639

Mailing address

201 1St St Ste 111
Petaluma, CA 94952-4291
Phone (855) 684-7966

Other names 1

  • Muir Wood Adolescent and Family Services Doing business as

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
05D2322980Muir Wood Adolescent and Family Services12808 Auberry Rd, Clovis, CA 93619Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Muir Wood LLC22 organizations share this tax ID, including this one
Part of
Muir Wood LLC

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1457038812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 1ST ST STE 111",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524291",
            "telephone_number": "855-684-7966",
            "fax_number": "707-781-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 AUBERRY RD",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936199639",
            "telephone_number": "310-903-1155",
            "fax_number": "707-559-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUIR WOOD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUIR WOOD LLC",
        "enumeration_date": "2023-06-28",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "415-497-7722",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muir Wood Adolescent and Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.