ANZA WELLNESS AND RECOVERY
NPI 1811605637
Psychiatry & Neurology - Addiction Medicine in San Bernardino, CA

Active since November 10, 2022CLIA 03D2277946 · Waiver
350 E. COMMERCIAL RD, SUITE 112, SAN BERNARDINO, CA 92408(480) 999-8200(480) 800-2212 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Apr 26, 2026, Oct 7, 2025 and 9 more (12 updates tracked since 2022).

About Anza Wellness And Recovery NPPES

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

ANZA WELLNESS AND RECOVERY (NPI 1811605637), doing business as Anza Wellness & Recovery, is a healthcare organization registered as an addiction medicine in San Bernardino, California and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through March 7, 2027, maintains 4 additional practice locations, and lists Philip Wasef, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1811605637
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameANZA WELLNESS AND RECOVERY
Location Address350 E. COMMERCIAL RD, SUITE 112San Bernardino, CA 92408-3764
Mailing Address350 E Commercial Rd, Suite 112San Bernardino, CA 92408-3764 · (480) 999-8200 · Fax (480) 800-2212
Fax(480) 800-2212
Organization SubpartNo
Authorized OfficialPhilip WasefMedical Director · (480) 999-8200
Enumeration DateNovember 10, 2022
Last NPPES UpdateApril 28, 202612 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1811605637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
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
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
350 E. COMMERCIAL RD, San Bernardino, CA 92408

Other Names 2

Doing Business AsAnza Wellness & Recovery
Doing Business AsAnza Wellness And Recovery

Secondary Practice Locations 4

Location 1703 Walnut StBoulder, CO 80302-5032 · Phone (480) 999-8200 · Fax (480) 800-2212
Location 215150 W Park Pl Ste 2031Goodyear, AZ 85395-2385 · Phone (424) 480-5230
Location 35609 Auburn Way SAuburn, WA 98092-7348 · Phone (480) 999-8200 · Fax (480) 800-2212
Location 4402 S 333rd St Ste 117Federal Way, WA 98003-7099 · Phone (424) 480-2322

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anza Wellness And Recovery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Anza Wellness And Recovery, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1053759217
350 E COMMERCIAL RD STE 112
San Bernardino, CA 92408
(909) 913-0600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518349414
9990 COUNTY FARM RD SUITE 3
Riverside, CA 92503
(951) 358-6031
✔ PECOS14 mi
Psychiatry
NPI 1215096920
2080 S E ST
San Bernardino, CA 92408
(909) 388-9191
✔ PECOS161 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 03D2277946

Anza Wellness & Recovery Center · Goodyear, AZ
Active · expires Mar 7, 2027
CLIA Number03D2277946
Laboratory TypePractitioner Other
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorCaleb M. Reid
Laboratory Phone(480) 999-8295
Laboratory LocationAnza Wellness & Recovery Center15150 W Park Pl, 2nd Floor-Ste 2031, Goodyear, AZ 85395
CLIA data matches this NPI record on: Name
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 Anza Wellness And Recovery's NPI number?

The NPI number for Anza Wellness And Recovery is 1811605637. It was assigned to this organization in the NPPES registry on November 10, 2022. The provider is doing business as Anza Wellness & Recovery.

Where is Anza Wellness And Recovery located?

Anza Wellness And Recovery is located at 350 E. Commercial Rd Suite 112, San Bernardino, CA 92408. The listed phone number is (480) 999-8200.

What is Anza Wellness And Recovery's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Anza Wellness And Recovery enrolled in Medicare?

Yes. Anza Wellness And Recovery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anza Wellness And Recovery?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Anza Wellness And Recovery, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Anza Wellness And Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2277946) is associated with this NPI, valid through March 7, 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 Anza Wellness And Recovery was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.