Paradigm Recovery Group LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

06463665 Issued in CA

Legal business name

PARADIGM RECOVERY GROUP LLC

Doing business as

A Healing Place The Estates

Practice address

601 E Daily Dr Ste 205
Camarillo, CA 93010-5839

Phone

(184) 438-8410

Fax

(180) 591-4063

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Mr. John Carl Stenzel

Title

Ceo

Phone

(184) 438-8411

Specialties & licenses 9

Addresses

Other identifiers 1

Other names 1

• A Healing Place The Estates Doing business as

Locations

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1801327663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E DAILY DR STE 205",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105839",
            "telephone_number": "184-438-8410",
            "fax_number": "180-591-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E DAILY DR STE 205",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105839",
            "telephone_number": "184-438-8410",
            "fax_number": "180-591-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM RECOVERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "STENZEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "184-438-8411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "06463665",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "06463665",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "06463665",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "06463665",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "06463665",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "06463665",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "06463665",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "06463665",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "06463665",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "N/A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Healing Place The Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Panman, PPS
• Justin Panzardi, PT, DPT
• Alison Michele Papion, M.A., MFT 90258
• Catie Pappas
• Katherine Jeanette Parada
• Paradiso Recovery Inc
• Shelley Diane Paramanandam, PT
• Eric Paredes
• Jessica Paredes
• Craig Randall Parent, DPM

• Pain Clinic/Center in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.