| Anza Wellness And Recovery | |
|
350 E. Commercial Rd Suite 112 San Bernardino CA 92408-3764 | |
| (480) 999-8200 | |
| (480) 800-2212 |
| Full Name | Anza Wellness And Recovery |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 350 E. Commercial Rd, San Bernardino, California |
| Authorized Official Name and Position | Caleb Mauti Reid (CEO) |
| Authorized Official Contact | 6518005900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anza Wellness And Recovery 350 E Commercial Rd Suite 112 San Bernardino CA 92408-3764 Ph: (480) 999-8200 | Anza Wellness And Recovery 350 E. Commercial Rd Suite 112 San Bernardino CA 92408-3764 Ph: (480) 999-8200 |
| NPI Number | 1811605637 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 04/11/2025 |
| Certification Date | 04/11/2025 |
| Medicare PECOS PAC ID | 6800244799 |
|---|---|
| Medicare Enrollment ID | O20231204001463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811605637 | NPI | - | NPPES |
| Provider Name | Jyotila Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215096920 PECOS PAC ID: 7810917846 Enrollment ID: I20090211000750 |
| Provider Name | Caleb Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053759217 PECOS PAC ID: 7810364437 Enrollment ID: I20231204001557 |
| Provider Name | Ayanna Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518349414 PECOS PAC ID: 4486193273 Enrollment ID: I20240823003777 |
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