A WILDWOOD RECOVERY IOP
NPI 1306323639
Clinic/Center - Rehabilitation, Substance Use Disorder in Thousand Oaks, CA
About A Wildwood Recovery Iop NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
A WILDWOOD RECOVERY IOP (NPI 1306323639) is a healthcare organization registered as a rehabilitation, substance use disorder in Thousand Oaks, California and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Shannon Siaotong, Facility Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2136286
A Wildwood Recovery · Thousand Oaks, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 A Wildwood Recovery Iop's NPI number?
The NPI number for A Wildwood Recovery Iop is 1306323639. It was assigned to this organization in the NPPES registry on July 19, 2018.
Where is A Wildwood Recovery Iop located?
A Wildwood Recovery Iop is located at 166 N. Moorpark Rd Suite 304, Thousand Oaks, CA 91360. The listed phone number is (805) 497-1900.
What is A Wildwood Recovery Iop's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does A Wildwood Recovery Iop hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2136286) is associated with this NPI, valid through September 5, 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 A Wildwood Recovery Iop was last updated on July 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.