NPIMap

Organization Active NPI

Azevedo Inc Dba the Pathway Program

Doing business as The Pathway Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rocklin, CA
National Provider Identifier
1750997003
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AZEVEDO INC DBA THE PATHWAY PROGRAM
Doing business as
The Pathway Program
Practice address
3900 Rocklin Rd Ste 100
Rocklin, CA 95677-2708
Phone
(602) 568-9735
NPI assigned
Sep 22, 2020
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Joshua Locke Azevedo, LISACNPI 1356517676
Title
Executive Director
Phone
(480) 921-4050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU

Addresses

Primary practice location

3900 Rocklin Rd Ste 100
Rocklin, CA 95677-2708

Mailing address

2036 N Gilbert Rd Ste 2-262
Mesa, AZ 85203-2139
Phone (602) 568-9735

Other names 1

  • The Pathway Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Azevedo Inc Dba the Pathway Program3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2036 N Gilbert Rd
Ste 2262
Mesa, AZ 85203

5900 King Rd
Ste 207
Loomis, CA 95650

3900 Rocklin Rd
Ste 100
Rocklin, CA 95677
Phone (602) 568-9735

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1750997003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 N GILBERT RD STE 2-262",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032139",
            "telephone_number": "602-568-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 ROCKLIN RD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772708",
            "telephone_number": "602-568-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZEVEDO INC DBA THE PATHWAY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "AZEVEDO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LOCKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-921-4050",
        "authorized_official_credential": "LISAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pathway Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.