PH WELLNESS, INC.
NPI 1053135665
Substance Abuse Rehabilitation Facility in Riverside, CA

Active since November 11, 2024CLIA Certified · 2 labs
7770 BROADACRE PL, RIVERSIDE, CA 92504(951) 335-5576 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 21, 2025, Nov 11, 2024 (2 updates tracked since 2024).

About Ph Wellness, Inc. NPPES

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

PH WELLNESS, INC. (NPI 1053135665) is a healthcare organization registered as a substance abuse rehabilitation facility in Riverside, California and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Anthony Ferrigno, Billing Manager, as its authorized official.Information from the official NPPES registry record, last updated November 21, 2025.

NPPES Registry Identity

NPI1053135665
Entity TypeOrganization
Legal Business NamePH WELLNESS, INC.
Location Address7770 BROADACRE PLRiverside, CA 92504-5401
Mailing Address12534 Valley View St Ste 169Garden Grove, CA 92845-2006
Organization SubpartNo
Authorized OfficialAnthony FerrignoBilling Manager · (949) 446-6280
Enumeration DateNovember 11, 2024
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
NPI 1053135665 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Substance Abuse Rehabilitation Facility

Taxonomy 324500000X · Residential Treatment Facilities

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… Show more

7770 BROADACRE PL, Riverside, CA 92504

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
05D2286432
Facility Type
Other - SUBSTANCE TREATMENT FACIL
Certificate Effective Date
July 28, 2025
Certificate Expiration Date
July 27, 2027
Laboratory Director
JISEUNG YOON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ph Wellness, Inc. 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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053135665, enumerated as an "organization" on November 11, 2024.

The provider is located at 7770 BROADACRE PL RIVERSIDE, CA 92504 and the phone number is (951) 335-5576.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.