Ultimate Wellness Program

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ULTIMATE WELLNESS PROGRAM

Doing business as

Serenity Ranch First Responder Recovery

Practice address

30223 Hawkset St
Castaic, CA 91384-3416

Phone

(213) 300-1030

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Gallivan, PHD,ABPP

Title

Ceo

Phone

(424) 289-0299

Specialties & licenses 1

Addresses

Other names 1

• Serenity Ranch First Responder Recovery Doing business as

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1871498311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30223 HAWKSET ST",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913843416",
            "telephone_number": "213-300-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30223 HAWKSET ST",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913843416",
            "telephone_number": "213-300-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE WELLNESS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "GALLIVAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-289-0299",
        "authorized_official_credential": "PHD,ABPP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Ranch First Responder Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Castaic, CA
• Providers in Castaic, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.