Active NPI
Reward Path Recovery LLC
- Substance Abuse Rehabilitation Facility
- Santa Paula, CA
National Provider Identifier
1619460912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- REWARD PATH RECOVERY LLC
- Practice address
- 525 E. Main St
Santa Paula, CA 93060 - Phone
- (805) 216-2447
- NPI assigned
- Jun 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Roland Vivian, MD
- Title
- Ceo
- Phone
- (805) 216-2447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
525 E. Main St
Santa Paula, CA 93060
Mailing address
266 Roosevelt Ave
Ventura, CA 93003-2581
Phone (805) 216-2447
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2223428 | Reward Path Recovery LLC | Certificate of waiver | May 5, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620086400000",
"number": "1619460912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 ROOSEVELT AVE",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032581",
"telephone_number": "805-216-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E. MAIN ST",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "93060",
"telephone_number": "805-216-2447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REWARD PATH RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-11",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A",
"authorized_official_last_name": "VIVIAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ROLAND",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-216-2447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Paula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.