Healthcare Provider Details

I. General information

NPI: 1932079704
Provider Name (Legal Business Name): CLEAR PATH WELLNESS & RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28005 BRADLEY RD STE 1040
MENIFEE CA
92586-2252
US

IV. Provider business mailing address

28005 BRADLEY RD STE 1040
MENIFEE CA
92586-2252
US

V. Phone/Fax

Practice location:
  • Phone: 310-496-9716
  • Fax:
Mailing address:
  • Phone: 951-722-2759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD ALVARADO
Title or Position: FOUNDER/OWNER
Credential: CACD II ICADC
Phone: 951-722-2759