MIGHTY OAKS RECOVERY NPI 1487511788

NPI Information

  • NPI: 1487511788
  • Provider Name: MIGHTY OAKS RECOVERY
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 4100 MOORPARK AVE STE 124
    SAN JOSE, CA
    ZIP 95117
  • Phone: (310) 343-8684

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NPI Details

MIGHTY OAKS RECOVERY is a rehabilitation and substance use disorder clinic center in San Jose, CA. MIGHTY OAKS RECOVERY NPI is 1487511788. The provider is registered as an organization entity type.

The provider's business location address is:

4100 MOORPARK AVE STE 124
SAN JOSE, CA
ZIP 95117-703
Phone: (310) 343-8684

The provider's authorized official is Jariksa Menjivar .
The authorized official title is Manager and has the following contact phone number (310) 343-8684.

The enumeration date for this NPI number is 1/7/2026 and was last updated on 1/7/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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