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RENEW U THERAPY
NPI 1366237000
Substance Abuse Rehabilitation Facility in Grand Terrace, CA

Active since April 12, 2025
12319 MOUNT VERNON AVE, GRAND TERRACE, CA 92313(951) 217-9363 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renew U Therapy NPPES

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

RENEW U THERAPY (NPI 1366237000) is a healthcare organization registered as a substance abuse rehabilitation facility in Grand Terrace, California and active in the NPI registry since April 2025. The organization maintains a secondary practice location in Moreno Valley and lists Siamak Ehteshamzadeh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366237000
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRENEW U THERAPY
Location Address12319 MOUNT VERNON AVEGrand Terrace, CA 92313
Mailing AddressPo Box 8461Moreno Valley, CA 92552-8461 · (951) 217-9363
Phone(951) 217-9363
Organization SubpartNo
Authorized OfficialSiamak EhteshamzadehCeo · (951) 217-9363
Enumeration DateApril 12, 2025
NPPES CertifiedApril 12, 2025
✔ NPI 1366237000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
12319 MOUNT VERNON AVE, Grand Terrace, CA 92313
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Secondary Practice Location 1

Location 125320 Lurin AveMoreno Valley, CA 92551-2405 · Phone (951) 217-9363

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 Renew U Therapy's NPI number?

The NPI number for Renew U Therapy is 1366237000. It was assigned to this organization in the NPPES registry on April 12, 2025.

Where is Renew U Therapy located?

Renew U Therapy is located at 12319 Mount Vernon Ave, Grand Terrace, CA 92313. The listed phone number is (951) 217-9363.

What is Renew U Therapy's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Renew U Therapy was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.