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

Q: What is Pura Vida Recovery Services, LLC's NPI number?

The NPI number for Pura Vida Recovery Services, LLC is 1346786696. It was assigned to this organization in the NPPES registry on January 10, 2017.

Q: What is Pura Vida Recovery Services, LLC's specialty?

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

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: August 16, 2026.

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

On this page

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

Open in Google Maps ↗

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pura Vida Recovery Services, LLC's NPI number?

The NPI number for Pura Vida Recovery Services, LLC is 1346786696. It was assigned to this organization in the NPPES registry on January 10, 2017.

Where is Pura Vida Recovery Services, LLC located?

Pura Vida Recovery Services, LLC is located at 130 Stony Point Rd, Santa Rosa, CA 95401. The listed phone number is (707) 338-5927.

What is Pura Vida Recovery Services, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pura Vida Recovery Services, LLC was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.