NPIMap

Organization Active NPI

Pathways Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Roseville, CA
National Provider Identifier
1740794338
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
310023BP Issued in CA
Legal business name
PATHWAYS RECOVERY
Practice address
775 Sunrise Ave Ste 210
Roseville, CA 95661-4527
Phone
(916) 735-8377
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Ms. Danita Sands
Title
Executive Director/Ceo
Phone
(916) 622-0874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 310023BP CA Primary

Addresses

Primary practice location

775 Sunrise Ave Ste 210
Roseville, CA 95661-4527

Mailing address

PO Box 847
Folsom, CA 95763-0847

Other identifiers 1

IdentifierTypeStateIssuer
310023BPOtherCACA DEPARTMENT OF HEALTH CARE SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Pathways Recovery6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1740794338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "957630847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SUNRISE AVE STE 210",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614527",
            "telephone_number": "916-735-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "SANDS",
        "authorized_official_first_name": "DANITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "916-622-0874",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "310023BP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DEPARTMENT OF HEALTH CARE SERVICES",
            "identifier": "310023BP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.