HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION (NPI# 1548613474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548613474 |
| Entity Type | Organization |
| Organization Name | HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION |
| Other Organization Name | PREMISE HEALTH CLINIC |
| Practice Address |
400 World Way Terminal 4 Los Angeles CA 90045-5888 |
| Mailing Address |
5500 Maryland Way Brentwood TN 37027-4948 |
| Practice Telephone | 3106465520 |
| Practice Fax Number | 3106467568 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | DR. PETER J VASQUEZ (PRESIDENT) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premise Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1013543693 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3600 Juliette Ln # Sr9-01, Santa Clara, CA 95054-1540 | 2020-03-16 |
| 1285277475 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 6121 Bollinger Canyon Rd, San Ramon, CA 94583-5287 | 2019-10-21 |
| 1619477718 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 40 Penny Ln Ste 4, Watsonville, CA 95076-6008 | 2018-02-15 |
| 1184124281 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 1414 S Miller St Ste 3, Santa Maria, CA 93454-6916 | 2018-02-15 |
| 1912426032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 1111 Lockheed Martin Way Bldg 157, Sunnyvale, CA 94089-1212 | 2017-09-11 |
| 1831640473 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 77 Beale St, San Francisco, CA 94105-1814 | 2016-10-19 |
| 1023436599 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3984 Indiana Ave, Perris, CA 92571-3154 | 2014-04-02 |
| 1841530037 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 573 Santa Rita Ave, Modesto, CA 95354-3756 | 2013-02-25 |
| 1457642548 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3571 N 1st St Fl 2, San Jose, CA 95134-1803 | 2011-04-25 |
| Street Address |
400 WORLD WAY TERMINAL 4 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-5888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053757831 | Natasha Narayan | Preventive Medicine | 400 World Way, Los Angeles, CA 90045-5888 | 2013-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1164999215 | Bobby Pezeshki Md Inc | Clinic/Center | 2011 Wilshire Blvd Ste 300, Los Angeles, CA 90057-3503 | 2018-10-26 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1275030009 | M Pakour Md Inc | Clinic/Center | 3671 W 6th St Ste B, Los Angeles, CA 90020-3026 | 2018-04-09 |
| 1083142376 | Advanced Hematology Oncology Medical Group Inc | Clinic/Center | 6221 Wilshire Blvd Ste 504, Los Angeles, CA 90048-5223 | 2017-05-31 |
| 1033516943 | Uc Regents | Clinic/Center | 10833 Le Conte, Los Angeles, CA 90095-1752 | 2014-11-21 |
| 1962811265 | County of Los Angeles - Auditor Controller | Clinic/Center | 1670 East 120 Th Street, Martin Luther King Jr. Pharmacy, Los Angeles, CA 90059-3019 | 2014-08-12 |
| 1952526915 | Silka Enterprises Inc | Clinic/Center | 5230 W Sunset Blvd Ste B, Los Angeles, CA 90027-5736 | 2007-04-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.