Pro Recovery Power

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRO RECOVERY POWER

Practice address

10130 Foothill Blvd Unit 107
Rancho Cucamonga, CA 91730-3735

Phone

(909) 738-5771

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Dwight Gambill

Title

Ceo

Phone

(909) 600-1859

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1609528132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 FOOTHILL BLVD UNIT 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303735",
            "telephone_number": "909-738-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 FOOTHILL BLVD UNIT 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303735",
            "telephone_number": "909-738-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO RECOVERY POWER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "GAMBILL",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-600-1859"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.