PARADISO RECOVERY INC
NPI 1760171698
Substance Abuse Rehabilitation Facility in Camarillo, CA

Active since May 05, 2023CLIA 05D2292565 · Waiver
119 ENCINO AVE, CAMARILLO, CA 93010(805) 504-5293 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paradiso Recovery Inc NPPES

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

PARADISO RECOVERY INC (NPI 1760171698) is a healthcare organization registered as a substance abuse rehabilitation facility in Camarillo, California and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Daniel Medina, Program Diretor, as its authorized official.

NPPES Registry Identity

NPI1760171698
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePARADISO RECOVERY INC
Location Address119 ENCINO AVECamarillo, CA 93010-1720
Mailing Address119 Encino AveCamarillo, CA 93010-1720
Organization SubpartNo
Authorized OfficialDaniel MedinaProgram Diretor · (818) 257-1465
Enumeration DateMay 5, 2023
NPPES CertifiedMay 5, 2023
NPI 1760171698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
119 ENCINO AVE, Camarillo, CA 93010

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 05D2292565

Paradiso Recovery Inc · Camarillo, CA
Active · expires Oct 25, 2027
CLIA Number05D2292565
Laboratory TypeHospital
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorJason Giles
Laboratory Phone(805) 504-5293
Laboratory LocationParadiso Recovery Inc119 Encino Ave, Camarillo, CA 93010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Paradiso Recovery Inc's NPI number?

The NPI number for Paradiso Recovery Inc is 1760171698. It was assigned to this organization in the NPPES registry on May 5, 2023.

Where is Paradiso Recovery Inc located?

Paradiso Recovery Inc is located at 119 Encino Ave, Camarillo, CA 93010. The listed phone number is (805) 504-5293.

What is Paradiso Recovery Inc's specialty?

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

Does Paradiso Recovery Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2292565) is associated with this NPI, valid through October 25, 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 Paradiso Recovery Inc was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.