WONDERFUL CENTER FOR HEALTH INNOVATION INC (NPI# 1720454192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720454192 |
| Entity Type | Organization |
| Organization Name | WONDERFUL CENTER FOR HEALTH INNOVATION INC |
| Other Organization Name | WONDERFUL WELLNESS CENTER - DELANO |
| Practice Address |
1701 S Lexington St Delano CA 93215-9200 |
| Practice Telephone | 6617202660 |
| Practice Fax Number | 6617202661 |
| Mailing Telephone | 6617202660 |
| Mailing Fax Number | 6617202661 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | DR. LARRY WOLK (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6617202660 |
| Authorized Official Credential | MD MSPH |
| Is Organization Subpart | Y |
| Parent Organization Name | WONDERFUL CENTER FOR HEALTH INNOVATION INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
C140498 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wonderful Wellness Center - Delano | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756103 | Wonderful Center for Health Innovation Inc | Clinic/Center | 14848 Lamberson Ave, Lost Hills, CA 93249 | 2020-10-06 |
| 1811452493 | Wonderful Center for Health Innovation Inc | Clinic/Center | 2070 Veneto St, Delano, CA 93215-9122 | 2019-02-07 |
| 1871043653 | Wonderful Center for Health Innovation Inc | Clinic/Center | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2016-10-05 |
| 1750752804 | Wonderful Center for Health Innovation Inc | Clinic/Center | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2015-10-15 |
| Street Address |
1701 S LEXINGTON ST |
| City | DELANO |
| State | CA |
| Zip Code | 93215-9200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101100 | Erin Parker Pandol | Physical Therapist | 1701 S Lexington St, Delano, CA 93215-9200 | 2005-08-16 |
| 1427515485 | Christian Diana Fritch | Nurse Practitioner | 1701 S Lexington St, Delano, CA 93215-9200 | 2019-02-26 |
| 1730389370 | Rishi Manchanda | General Practice | 1701 S Lexington St, Delano, CA 93215-9200 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427699396 | Clinca Sierra Vista | Clinic/Center | 425 Del Sol Parkway, Delano, CA 93215 | 2019-10-02 |
| 1609367762 | Elizabeth Galaviz Alcaraz | Marriage & Family Therapist | 828 High Street, Suite C, Delano, CA 93215 | 2018-05-24 |
| 1972962819 | Joy Nneka Iwuchukwu | Nurse Practitioner | 1201 Jefferson Street, Delano, CA 93215 | 2016-02-21 |
| 1154715217 | Amalia Sanchez | Counselor | 828 High Street, Suite C, Delano, CA 93215 | 2015-03-26 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1629356522 | Clinica Sierra Vista | Counselor | 1401 Hiett Ave, Delano, CA 93215 | 2011-07-26 |
| 1235435082 | Jonathan James Yip | Psychologist | 2327 W. Cecil Ave., Delano, CA 93215 | 2011-01-26 |
| 1669782108 | Lydia Reyes | Marriage & Family Therapist | 828 High Street, Ste.c, Delano, CA 93215 | 2010-10-18 |
| 1932341385 | Lydia Soriano Zapanta | Obstetrics & Gynecology | 1619 Cecil Ave, Delano, CA 93215 | 2009-04-01 |
| 1669624714 | Gurvinder Kaur | Pharmacist | 1800 Cecil Ave, Delano, CA 93215 | 2008-10-21 |
| Find all providers in zip 93215 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326530726 | Cclt Management LLC | Clinic/Center | 1004 14th Ave, Delano, CA 93215-2246 | 2018-05-31 |
| 1306225123 | Arce Medical Care | Clinic/Center | 1303 Jefferson St, Delano, CA 93215-2205 | 2015-05-26 |
| 1154679447 | Shyam Bhaskar, M.d. Inc | Clinic/Center | 1425 Main St, Delano, CA 93215-1726 | 2012-08-17 |
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| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
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| 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.