Pathways 1 Sober Living

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PATHWAYS 1 SOBER LIVING

Practice address

126 N Glendora Ave Ste 101
Glendora, CA 91741-3341

Phone

(626) 412-6812

Fax

(626) 387-9132

NPI assigned

Feb 24, 2022

Organization subpart

Yes

Parent organization

PATHWAYS 1 SOBER LIVINGAs reported in NPPES

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

Authorized official

Name

Madonna Lecaine

Title

Administrative Assistant

Phone

(626) 412-6812

Specialties & licenses 1

Addresses

Other names 1

• Pathways Wellness Center Doing business as

Tax ID family

Pathways 1 Sober Living2 organizations share this tax ID, including this one

Part of

Pathways 1 Sober Living

Other organizations with this tax ID 1

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

• Pathways 1 Sober Living

  • Substance Abuse Rehabilitation Facility
  • Azusa, CA
  • NPI 1720659816
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pathways 1 Sober Living

  • Substance Abuse Rehabilitation Facility
  • Azusa, CA
  • NPI 1720659816
  NPPES parent name

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1962158204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 N SOLDANO AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022136",
            "telephone_number": "626-412-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N GLENDORA AVE STE 101",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413341",
            "telephone_number": "626-412-6812",
            "fax_number": "626-387-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS 1 SOBER LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS 1 SOBER LIVING",
        "enumeration_date": "2022-02-24",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "LECAINE",
        "authorized_official_first_name": "MADONNA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "626-412-6812"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pathways Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arjun Patel, DO
• Minal D Patel, DDS
• Nilesh Navin Patel, MD
• Rajan Sunny Patel, PHARMD
• Samir A Patel, D.O.
• Patriot DME Inc.
• Jamison Jon Pawley, DMD MS
• Jamie Danielle Payne, CATC-I
• PCC Health Services, Inc.
• Diane Helen Peacock, RN

• Substance Use Disorder Rehabilitation Clinic/Center in Glendora, CA
• Providers in Glendora, 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 Feb 9, 2024; 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.