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ALTA DRIVE LLC
NPI 1043802143
Substance Abuse Rehabilitation Facility in Simi Valley, CA

Active since February 09, 2021
4015 PEORIA AVE, SIMI VALLEY, CA 93063(805) 584-2592 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alta Drive Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTA DRIVE LLC (NPI 1043802143) is a healthcare organization registered as a substance abuse rehabilitation facility in Simi Valley, California and active in the NPI registry since February 2021. The organization lists Kyle Perez, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043802143
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameALTA DRIVE LLC
Location Address4015 PEORIA AVESimi Valley, CA 93063-1657
Mailing Address4015 Peoria AveSimi Valley, CA 93063-1657
Phone(805) 584-2592
Organization SubpartNo
Authorized OfficialKyle PerezExecutive Director · (310) 876-4681
Enumeration DateFebruary 9, 2021
NPPES CertifiedFebruary 9, 2021
✔ NPI 1043802143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
4015 PEORIA AVE, Simi Valley, CA 93063
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Other Identifiers 1

Other1831741800CA · Ppo

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alta Drive LLC's NPI number?

The NPI number for Alta Drive LLC is 1043802143. It was assigned to this organization in the NPPES registry on February 9, 2021.

Where is Alta Drive LLC located?

Alta Drive LLC is located at 4015 Peoria Ave, Simi Valley, CA 93063. The listed phone number is (805) 584-2592.

What is Alta Drive LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Alta Drive LLC was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.