Organization Active NPI

Muir Wood LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Riverside, CA
National Provider Identifier
1457285512
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
MUIR WOOD LLC
Practice address
16930 Washington St
Riverside, CA 92504-6149
Phone
(415) 497-7722
Fax
(707) 781-4287
NPI assigned
Jun 11, 2026
Organization subpart
Yes
Parent organization
MUIR WOOD LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Bryan Bowen
Title
Coo
Phone
(415) 497-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

16930 Washington St
Riverside, CA 92504-6149

Mailing address

201 1St St Ste 111
Petaluma, CA 94952-4291
Phone (415) 497-7722

National Provider Directory

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

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": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1457285512",
    "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": "415-497-7722",
            "fax_number": "707-781-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16930 WASHINGTON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925046149",
            "telephone_number": "415-497-7722",
            "fax_number": "707-781-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUIR WOOD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUIR WOOD LLC",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "415-497-7722"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.