ANZA WELLNESS AND RECOVERY
NPI 1811605637
Psychiatry & Neurology - Addiction Medicine in San Bernardino, CA
NPI Status: Active since November 10, 2022
Contact Information
350 E. COMMERCIAL RD
SUITE 112
SAN BERNARDINO, CA
ZIP 92408
Phone: (480) 999-8200
Fax: (480) 800-2212
- Organization
- Psychiatry & Neurology
- Addiction Medicine
- CLIA Number: 03D2277946
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 03-07-2027
About ANZA WELLNESS AND RECOVERY
This page provides the complete NPI Profile along with additional information for Anza Wellness And Recovery, a provider established in San Bernardino, California operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1811605637 assigned on November 2022. The practitioner's primary taxonomy code is 2084A0401X. The provider is registered as an organization and their NPI record was last updated April 2026. Anza Wellness And Recovery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1811605637
- Provider Legal Name
- ANZA WELLNESS AND RECOVERY
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 350 E. COMMERCIAL RD SUITE 112 SAN BERNARDINO, CA 92408
- Location Phone
- (480) 999-8200
- Location Fax
- (480) 800-2212
- Mailing Address
- 350 E COMMERCIAL RD SUITE 112 SAN BERNARDINO, CA 92408
- Mailing Phone
- (480) 999-8200
- Mailing Fax
- (480) 800-2212
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-10-2022
- Last Update Date
- 04-28-2026
- Code Navigator
Location Map
Secondary Locations
- 15150 W Park Pl Ste 2031
Goodyear, AZ 85395
(424) 480-5230 - 402 S 333rd St Ste 117
Federal Way, WA 98003
(424) 480-2322 - 5609 Auburn Way S
Auburn, WA 98092
(480) 999-8200 - 703 Walnut St
Boulder, CO 80302
(480) 999-8200
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Addiction Medicine
- Taxonomy Code
- 2084A0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 6 | 2084P0802X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 7 | 2084P0805X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 8 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 9 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
| 10 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 11 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 12 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 13 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2277946
- Facility Type
- Practitioner Other
- Certificate Effective Date
- March 08, 2025
- Certificate Expiration Date
- March 07, 2027
- Laboratory Director
- CALEB M. REID
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Anza Wellness And Recovery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1811605637, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811605637, enumerated as an "organization" on November 10, 2022.
The provider is located at 350 E. COMMERCIAL RD SUITE 112 SAN BERNARDINO, CA 92408 and the phone number is (480) 999-8200.
Psychiatry & Neurology with taxonomy code 2084A0401X and a focus in Addiction Medicine.
