ANZA WELLNESS AND RECOVERY NPI 1811605637

NPI Information

NPI: 1811605637
Provider Name: ANZA WELLNESS AND RECOVERY

Doing Business As: ANZA WELLNESS & RECOVERY

Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
350 E. COMMERCIAL RD
SUITE 112
SAN BERNARDINO, CA
ZIP 92408
Phone: (480) 999-8295
Get Directions

ANZA WELLNESS AND RECOVERY is an addiction medicine psychiatry neurology in San Bernardino, CA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine ANZA WELLNESS AND RECOVERY NPI is 1811605637. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Anza Wellness & Recovery.

The provider's business location address is:

350 E. COMMERCIAL RD
SUITE 112
SAN BERNARDINO, CA
ZIP 92408-764
Phone: (480) 999-8295
Fax: (480) 800-2212

The provider's authorized official is Caleb Mauti Reid .
The authorized official title is Ceo and has the following contact phone number (408) 999-8295.

The enumeration date for this NPI number is 11/10/2022 and was last updated on 4/23/2024.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
3	2084A0401X	Psychiatry & Neurology	Addiction Medicine	Yes
4	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No
7	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
8	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	No
9	225100000X	Physical Therapist		No
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
11	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
12	261QP2300X	Clinic/Center	Primary Care	No
13	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
14	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	No
15	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	No

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: 5/5/2024

NPI Synchronization or Removal

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