PETRA WELLNESS, INC
NPI 1508618612
Substance Abuse Rehabilitation Facility in Woodland Hills, CA
About Petra Wellness, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETRA WELLNESS, INC (NPI 1508618612) is a healthcare organization registered as a substance abuse rehabilitation facility in Woodland Hills, California and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through April 26, 2028, maintains 2 additional practice locations, and lists Cody Neeley, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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 05D2342803
Petra Wellness, Inc · Woodland Hills, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODLAND HILLS, CA 91367
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 Petra Wellness, Inc's NPI number?
The NPI number for Petra Wellness, Inc is 1508618612. It was assigned to this organization in the NPPES registry on April 2, 2024.
Where is Petra Wellness, Inc located?
Petra Wellness, Inc is located at 22839 Dolorosa St, Woodland Hills, CA 91367. The listed phone number is (918) 964-3632.
What is Petra Wellness, Inc's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Petra Wellness, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2342803) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Petra Wellness, Inc was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Petra Wellness, Inc · NPI 1508618612
Substance Abuse Rehabilitation Facility organization in Woodland Hills, California. Organization record, active in the CMS NPPES registry since April 2, 2024.
## Identity
- **NPI:** 1508618612 (Entity type: Organization)
- **Enumerated:** April 2, 2024
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Cody Neeley, CEO
## Practice location
- **Address:** 22839 DOLOROSA ST, Woodland Hills, CA 91367-4320
- **Phone:** (918) 964-3632
## Record status
- **NPPES last updated:** October 20, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508618612) · Data from the CMS NPPES public registry.