Kokua Wellness Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

KOKUA WELLNESS INC.

Practice address

1219 Via Cielito
Ventura, CA 93003-1225

Phone

(818) 723-9403

NPI assigned

May 29, 2023

Organization subpart

No

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

Authorized official

Name

Michael Bradshaw, CATC INPI 1255782496

Title

Ceo

Phone

(818) 723-9403

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Bradshaw

  • Addiction (Substance Use Disorder) Counselor
  • Sherman Oaks, CA
  • NPI 1255782496
  NPD Authorized official

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1891488748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 LOS ROBLES RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623359",
            "telephone_number": "760-590-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 VIA CIELITO",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031225",
            "telephone_number": "818-723-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKUA WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-27",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-723-9403",
        "authorized_official_credential": "CATC I"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Suzanne Knuppel, RN
• Sabrina Ko
• Aditi Kodesia, D.D.S.
• Galen Scott Koen
• Katie Koester
• Satria Jane Komari
• Li Sheng Kong, M.D.
• Lynn R Kong, MD
• Rachel Konis, RBT
• Lauren Koroknay, RDH, OMT

• Substance Use Disorder Rehabilitation Clinic/Center in Ventura, CA
• Providers in Ventura, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.