Active NPI
Recovery Wellness 360
- Allergy & Immunology (Internal Medicine) Physician
- Camarillo, CA
National Provider Identifier
1811822471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- Legal business name
- RECOVERY WELLNESS 360
- Practice address
- 1317 Del Norte Rd Ste 220B
Camarillo, CA 93010-8619 - Phone
- (805) 891-6551
- NPI assigned
- Jun 16, 2026
- Last updated
- Jun 16, 2026
- 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
- Kevin Tardiff
- Title
- Owner
- Phone
- (805) 891-6551
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Allergy Physician | 207KA0200X | |||
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | Primary | ||
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1317 Del Norte Rd Ste 220B
Camarillo, CA 93010-8619
Mailing address
1317 Del Norte Rd Ste 220B
Camarillo, CA 93010-8619
National Provider Directory
National Provider DirectoryLocations
1317 Del Norte Rd
Ste 220B
Camarillo, CA 93010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1811822471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 DEL NORTE RD STE 220B",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930108619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 DEL NORTE RD STE 220B",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930108619",
"telephone_number": "805-891-6551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY WELLNESS 360",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-16",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "TARDIFF",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-891-6551"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Allergy & Immunology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.