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PURA VIDA RECOVERY SERVICES, LLC
NPI 1346786696
Clinic/Center - Rehabilitation, Substance Use Disorder in Santa Rosa, CA

Active since January 10, 2017
130 STONY POINT RD, SANTA ROSA, CA 95401(707) 338-5927 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 17, 2020, Mar 8, 2018, Jan 10, 2017 (3 updates tracked since 2017).

About Pura Vida Recovery Services, Llc NPPES

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

PURA VIDA RECOVERY SERVICES, LLC (NPI 1346786696) is a healthcare organization registered as a rehabilitation, substance use disorder in Santa Rosa, California and active in the NPI registry since January 2017. The organization lists Ben A Pahlavan, Cao, as its authorized official.

NPPES Registry Identity

NPI1346786696
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePURA VIDA RECOVERY SERVICES, LLC
Location Address130 STONY POINT RDSanta Rosa, CA 95401-4120
Mailing Address130 Stony Point Rd Ste JSanta Rosa, CA 95401-4120 · (707) 338-5927
Phone(707) 338-5927
Organization SubpartNo
Authorized OfficialBen A PahlavanCao · (707) 338-5927
Enumeration DateJanuary 10, 2017
Last NPPES UpdateNovember 17, 20203 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1346786696 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
130 STONY POINT RD, Santa Rosa, CA 95401
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA M. PETRICK M.D.
Allergy & Immunology
130 STONY POINT RD, SUITE E
SANTA ROSA, CA 95401
Sonoma County (707) 525-0211
ALLERGY & ASTHMA ADULT & PEDIATRIC MEDICAL GROUP OF THE REDWOODS INC
Allergy & Immunology
130 STONY POINT RD, SUITE E
SANTA ROSA, CA 95401
Sonoma County (707) 525-0211

Frequently Asked Questions

What is PURA VIDA RECOVERY SERVICES, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1346786696, enumerated as an "organization" on January 10, 2017.

Where is the provider located?

The provider is located at 130 STONY POINT RD SANTA ROSA, CA 95401 and the phone number is (707) 338-5927.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.