SIMPLE PATH RECOVERY LLC
NPI 1265210249
Clinic/Center - Adult Mental Health in Pomona, CA
NPI Status: Active since September 20, 2023
Contact Information
68 RIO RANCHO RD
UNIT 201-202
POMONA, CA
ZIP 91766
Phone: (949) 302-1010
- Organization
- Clinic/Center
- Adult Mental Health
- CLIA Number: 05D2301165
- CLIA Cert. Type: Other - SUBSTANCE USE TREAT
- CLIA Exp. Date: 03-20-2026
About SIMPLE PATH RECOVERY LLC
This page provides the complete NPI Profile along with additional information for Simple Path Recovery Llc, a provider established in Pomona, California operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1265210249 assigned on September 2023. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Cheyenne Chen-piller (Managing Member)
- NPI
- 1265210249
- Provider Name
- SIMPLE PATH RECOVERY LLC
- Entity Type
- Organization
- Location Address
- 68 RIO RANCHO RD UNIT 201-202 POMONA, CA 91766
- Location Phone
- (949) 302-1010
- Mailing Address
- 55 E HUNTINGTON DR STE 108 ARCADIA, CA 91006
- Mailing Phone
- (949) 302-1010
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-20-2023
- Last Update Date
- 03-21-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2301165
- Facility Type
- Other - SUBSTANCE USE TREAT
- Certificate Effective Date
- March 21, 2024
- Certificate Expiration Date
- March 20, 2026
- Laboratory Director
- LAWRENCE V. TUCKER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Simple Path Recovery Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 2 | 1 | 0 | 2 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 4 | 1 | 0 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 4 + 1 + 0 + 2 + 8 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1265210249 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265210249, enumerated in the NPI registry as an "organization" on September 20, 2023
The provider is located at 68 Rio Rancho Rd Unit 201-202 Pomona, Ca 91766 and the phone number is (949) 302-1010
This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health
The provider's CLIA number is 05D2301165 for a "other - substance use treat" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 20, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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