PATHWAYS RECOVERY
NPI 1255941597
Clinic/Center - Rehabilitation, Substance Use Disorder in Fair Oaks, CA

Active since August 02, 2020CLIA Certified · 2 labs
4904 HOLLYCREST WAY, FAIR OAKS, CA 95628(916) 735-8377(877) 494-5088 Get Directions Write a Review

NPPES record last updated: August 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pathways Recovery NPPES

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

PATHWAYS RECOVERY (NPI 1255941597) is a healthcare organization registered as a rehabilitation, substance use disorder in Fair Oaks, California and active in the NPI registry since August 2020. The organization holds 2 active CLIA laboratory certificates and lists Michael M Graham, Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1255941597
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePATHWAYS RECOVERY
Location Address4904 HOLLYCREST WAYFair Oaks, CA 95628-5114
Mailing AddressPo Box 847Folsom, CA 95763-0847 · (916) 735-8377 · Fax (877) 494-5088
Fax(877) 494-5088
Organization SubpartNo
Authorized OfficialMichael M GrahamCompliance Manager · (916) 398-0729
Enumeration DateAugust 2, 2020
NPPES CertifiedAugust 2, 2020
NPI 1255941597 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
4904 HOLLYCREST WAY, Fair Oaks, CA 95628

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 05D2239169

Pathways Recovery · Roseville, CA
Active · expires Oct 7, 2027
CLIA Number05D2239169
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorDavid Deihimy
Laboratory Phone(916) 735-8377
Laboratory LocationPathways Recovery775 Sunrise Ave #210, Roseville, CA 95661
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2275138

Pathways Recovery · Penryn, CA
Active · expires Jan 16, 2027
CLIA Number05D2275138
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorCharles Carpenter
Laboratory Phone(916) 735-8377
Laboratory LocationPathways Recovery8615 Rock Springs Rd, Penryn, CA 95663
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 Pathways Recovery's NPI number?

The NPI number for Pathways Recovery is 1255941597. It was assigned to this organization in the NPPES registry on August 2, 2020.

Where is Pathways Recovery located?

Pathways Recovery is located at 4904 Hollycrest Way, Fair Oaks, CA 95628. The listed phone number is (916) 735-8377.

What is Pathways Recovery's specialty?

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

Does Pathways Recovery 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 Pathways Recovery was last updated on August 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.