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

Q: What is Ph Wellness, Inc.'s NPI number?

The NPI number for Ph Wellness, Inc. is 1053135665. It was assigned to this organization in the NPPES registry on November 11, 2024.

Q: What is Ph Wellness, Inc.'s specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ph Wellness, Inc. was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

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: August 16, 2026.

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

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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 2 active CLIA laboratory certificates and lists Anthony Ferrigno, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1053135665

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePH WELLNESS, INC.

Location Address7770 BROADACRE PLRiverside, CA 92504-5401

Mailing Address12534 Valley View St Ste 169Garden Grove, CA 92845-2006

Phone(951) 335-5576

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.

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.

7770 BROADACRE PL, Riverside, CA 92504

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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2286432

Ph Wellness · Riverside, CA

Active · expires Jul 27, 2027

CLIA Number05D2286432

Laboratory TypeSubstance Treatment Facil

Certificate Effective DateJuly 28, 2025

Certificate Expiration DateJuly 27, 2027

Laboratory DirectorJiseung Yoon

Laboratory Phone(951) 335-5576

Laboratory LocationPh Wellness7635 Dufferin Avenue, Riverside, CA 92504

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2279149

Ph Wellness · Riverside, CA

Active · expires Mar 28, 2027

CLIA Number05D2279149

Laboratory TypeSubstance Use Treatment F

Certificate Effective DateMarch 29, 2025

Certificate Expiration DateMarch 28, 2027

Laboratory DirectorJiseung Yoon

Laboratory Phone(951) 335-5576

Laboratory LocationPh Wellness7603 Dufferin Ave, Riverside, CA 92504

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Ph Wellness, Inc.'s NPI number?

The NPI number for Ph Wellness, Inc. is 1053135665. It was assigned to this organization in the NPPES registry on November 11, 2024.

Where is Ph Wellness, Inc. located?

Ph Wellness, Inc. is located at 7770 Broadacre Pl, Riverside, CA 92504. The listed phone number is (951) 335-5576.

What is Ph Wellness, Inc.'s specialty?

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

Does Ph Wellness, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ph Wellness, Inc. was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.