Peaceful Path Living, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PEACEFUL PATH LIVING, LLC

Practice address

50 Norwood St
Redlands, CA 92373-6315

Phone

(562) 412-5474

NPI assigned

Nov 22, 2024

Organization subpart

No

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

Authorized official

Name

James Park

Title

Director

Phone

(562) 412-5474

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1508682642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 W MALVERN AVE # 1013",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332106",
            "telephone_number": "562-412-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORWOOD ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736315",
            "telephone_number": "562-412-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL PATH LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-412-5474"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Patterson, BSN, RN, PHN
• Daniel J Patton, MD
• Marcus Andrew Paulson, DDS, MS
• Cynthia Lee Paxton, M.S.
• Charles Edward Payton, M.D.
• Rufiena L Pearson, NP
• Carrie Peasinger, NBC-HWC
• Brittany Pechinko
• Jennifer Jean Pedley, DC
• Stefanie Angeline Pena Adrian

• Mental Illness Community Based Residential Treatment Facility in Redlands, CA
• Providers in Redlands, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.