FORTIFY WELLNESS
NPI 1104782432
Clinic/Center - Rehabilitation, Substance Use Disorder in Granada Hills, CA

Active since December 30, 2025CLIA 05D2334007 · Waiver
17045 CHATSWORTH ST, GRANADA HILLS, CA 91344(714) 624-7171 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fortify Wellness NPPES

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

FORTIFY WELLNESS (NPI 1104782432) is a healthcare organization registered as a rehabilitation, substance use disorder in Granada Hills, California and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Henry Hsu, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1104782432
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameFORTIFY WELLNESS
Location Address17045 CHATSWORTH STGranada Hills, CA 91344-5845
Mailing Address17045 Chatsworth StGranada Hills, CA 91344-5845 · (714) 624-7171
Organization SubpartNo
Authorized OfficialHenry HsuDirector Of Operations · (714) 624-7171
Enumeration DateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
NPI 1104782432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
17045 CHATSWORTH ST, Granada Hills, CA 91344

CLIA Laboratory Certificates CMS CLIA

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 05D2334007

Fortify Wellness Inc · Granada Hills, CA
Active · expires Nov 12, 2027
CLIA Number05D2334007
Laboratory TypeResidential Drug Treatmen
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorChristian Small
Laboratory Phone(805) 660-0721
Laboratory LocationFortify Wellness Inc17045 Chatsworth St, Granada Hills, CA 91344
CLIA data matches this NPI record on: Address Name
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 Fortify Wellness's NPI number?

The NPI number for Fortify Wellness is 1104782432. It was assigned to this organization in the NPPES registry on December 30, 2025.

Where is Fortify Wellness located?

Fortify Wellness is located at 17045 Chatsworth St, Granada Hills, CA 91344. The listed phone number is (714) 624-7171.

What is Fortify Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Fortify Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2334007) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fortify Wellness was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.