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